Individual
LESLEY ANNE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1433 N 1075 W STE 120, FARMINGTON, UT 84025-2746
(385) 219-4980
Mailing address
523 HIDDEN MEADOW WAY, FARMINGTON, UT 84025-4010
(480) 292-2949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9484395-6004
UT
101YM0800X
Mental Health Counselor
9484395-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9484395-6004
CMHC LICENSE
UT
Enumeration date
02/12/2019
Last updated
06/18/2024
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