Ellis Stout is a professional counselor in Tahlequah, OK. Ellis Stout NPI is 1124379342. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1606 E DOWNING ST
TAHLEQUAH, OK
ZIP 74464-573
Phone: (918) 453-1217
Fax: (918) 453-0971
The enumeration date for this NPI number is 9/27/2012 and was last updated on 9/27/2012.