person
Brock Stout
Mental Health Counselor in Nauvoo, Illinois
NPI 1932962313

Brock Stout is a Mental Health Counselor based in Nauvoo, IL and is specialized in Mental Health. Brock Stout practices in Nauvoo, IL. The NPI Number for Brock Stout is 1932962313 and holds a License No. 122471 (Illinois).

The current practice location address for Brock Stout is 1830 Parley St, Nauvoo, IL and can be reached out via phone at 312-965-2686.

Location: 1830 Parley St, Nauvoo, IL, 62354-1352
person
Provider Profile Details
NPI Number
1932962313
Provider Name
Brock Stout
Credential
Provider Entity Type
Individual
Gender
Male
Address
1830 Parley St, Nauvoo, IL, 62354-1352
Phone Number
312-965-2686
Fax Number
Provider Enumeration Date
01/30/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1830 Parley St
City
State
Zip
62354-1352
Phone Number
312-965-2686
Fax Number
person
Provider Business Mailing Address Details
Address
1830 Parley St
City
State
Zip
62354-1352
Phone Number
312-965-2686
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
122471 (Iowa)
Definition
Definition to come...
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