Individual
MARIAH STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 E 82ND AVE STE 103, ANCHORAGE, AK 99518-3100
(907) 232-3939
Mailing address
615 E 82ND AVE STE 103, ANCHORAGE, AK 99518-3100
(079) 232-3939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
03/13/2026
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