Ellis Stout
Ellis Stout is a Professional Counselor in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.
- Licensed in
- OK
- In the registry since
- 2012
Practice location Address checks out
1606 E Downing StTahlequah, OK 74464-2573
Phone: (918) 453-1217
Fax: (918) 453-0971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 3039 (OK) |
|---|
Record details
| NPI number | 1124379342 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 27, 2012 |
| Last updated in NPPES | September 27, 2012 |
| Mailing address | 1606 E Downing St, Tahlequah, OK 74464-2573 |
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