Stout, Jaclyn Rose

Stout, Jaclyn Rose is an individual health care provider with primary practice located at 1326 Juanita Ave , Oxnard CA 93030-0422. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Stout, Jaclyn Rose can be contacted via phone (805) 746-9501.

Contact Information

Primary practice address
1326 Juanita Ave Oxnard CA 93030-0422
Phone: (805) 746-9501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1720359060
LBN Legal business name Stout, Jaclyn Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Jan 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers