Jackie Stout, LCSW

NPI 1518280536 · on the registry since 2010

Practice

Address: 410 Maple Ave W
Suite 7
Vienna, VA 22180
Phone: (703) 342-4671
Organisation at this address: Vienna Dermatology, Llc
Kanaka Sriram, D.D.S., P.C.
Virginia Gynecologists, Ltd
Captial Area Pediatrics, Inc
Virginia Family Counseling, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia