Individual
MS. GRACE ANN STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2001 CORONA RD STE 205, COLUMBIA, MO 65203-5924
(573) 825-4056
(913) 956-6686
Mailing address
2001 CORONA RD STE 205, COLUMBIA, MO 65203-5924
(573) 825-4056
(913) 956-6686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2017044749
MO
101YP2500X
Professional Counselor
217
KS
Other
Enumeration date
03/28/2007
Last updated
05/18/2022
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