Individual
MICHAEL A STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
Mailing address
43800 RIVERGATE DR, CLINTON TOWNSHIP, MI 48038-1357
(586) 202-6407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018255
MI
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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