Individual
CARLY STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
608 FLAMINGO BLVD, LAKEWAY, TX 78734-5014
(830) 370-8788
Mailing address
5226 TENNYSON ST, DENVER, CO 80212
(830) 370-8788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0015065
CO
Other
Enumeration date
02/01/2019
Last updated
05/29/2025
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