Individual
KRISTA TAYLOR STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3100 OAK ST, LAS CRUCES, NM 88005-3769
(575) 523-2288
Mailing address
3100 OAK ST, LAS CRUCES, NM 88005-3769
(575) 649-1410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB20250816
NM
101YM0800X
Mental Health Counselor
Primary
CTB20250816
NM
Other
Enumeration date
02/20/2023
Last updated
03/17/2026
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