Individual
KELSEY CARRASQUILLO STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MA
Contact information
Practice address
9300 MIDDLEBROOK PIKE, KNOXVILLE, TN 37931-4703
(865) 333-4889
Mailing address
7409 ROSE WATER LN, KNOXVILLE, TN 37924-5518
(678) 677-9243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014919
GA
101YM0800X
Mental Health Counselor
7706
TN
Other
Enumeration date
11/10/2021
Last updated
04/29/2026
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