Individual
MRS. VANESSA D STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 499-5534
(775) 499-5535
Mailing address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 499-5534
(775) 499-5535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02082-I
NV
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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