Individual
SARAH STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Contact information
Practice address
1317 LUANA ST, SANTA FE, NM 87505-3238
(505) 603-1193
Mailing address
1317 LUANA ST, SANTA FE, NM 87505-3238
(505) 603-1193
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0741
NM
Other
Enumeration date
05/18/2009
Last updated
10/04/2024
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