| Larry A Stout, MSW | |
|
2400 W Main St, Marion, IL 62959-1171 | |
| (618) 997-5311 | |
| Not Available |
| Full Name | Larry A Stout |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2400 W Main St, Marion, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124282769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 149004386 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry A Stout, MSW 11531 Sunderland Rd, Marion, IL 62959-8274 Ph: (618) 997-5311 | Larry A Stout, MSW 2400 W Main St, Marion, IL 62959-1171 Ph: (618) 997-5311 |
Mrs. Heather Sims, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969 | |
Taylor Thrasher, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969 | |
Clifton Blake Spires, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969 | |
Kathy Taylor, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969 | |
Jerad Hernandez, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 202 S Bentley St, Marion, IL 62959 Phone: 855-608-3560 Fax: 618-997-6489 | |
Jaxon Barthelme, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969 | |
Tamika S Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969 |