NPI 1063997955

Tarea Stout, LPC

Practitioner Professional Counselor Clinton, MS

Practice location

Address: 604 Highway 80 W STE R, Clinton, MS 39056-4108
Phone: (601) 664-8683
Mailing address: 213 Paxton Cv, Madison, MS 39110-8900

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 493 (MS)

Other Counselor providers in Mississippi →

Registry record

NPI: 1063997955
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2018
Record last updated: 13 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.