Individual
JENNIFER STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
714 W PINE ST BLDG C, NEWPORT, WA 99156-9046
(509) 447-3139
Mailing address
714 W PINE ST, NEWPORT, WA 99156-9046
(509) 447-3139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60297508
WA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW60587149
WA
Other
Enumeration date
07/10/2018
Last updated
09/10/2025
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