Individual
DELAYNA JEAN STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8541 S REDWOOD RD STE C, WEST JORDAN, UT 84088-9327
(801) 878-4220
(801) 878-9846
Mailing address
215 HILL AVE APT 3, SALT LAKE CITY, UT 84107-1555
(801) 864-4813
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8363706004
UT
Other
Enumeration date
07/02/2007
Last updated
05/03/2012
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