Valorie Stout

Individual provider Active NPI Mental Health Counselor · Davis, OK

NPI 1548554223 · NPPES record last updated May 31, 2011

Key facts

NPI
1548554223
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
121 E Main St Ste 101
Davis, OK 73030-1974
Phone
(580) 369-5080
Fax
(580) 369-2488
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

121 E Main St Ste 101
Davis, OK 73030-1974

Mailing address

PO Box 1710
Kingston, OK 73439-1710
Phone (580) 745-9610

Other providers in Davis, OK

All providers in Davis, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.