| Doctor Name: | DELAYNA JEAN STOUT |
| NPI Number: | 1063619096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 8363706004 |
| Business Practice Address: | 8541 S Redwood Rd Ste C West Jordan, UT - 840889327 |
| Business Phone Number: | 8018784220 |
| Business Fax Number: | 8018789846 |
| Mailing Address: | 215 Hill Ave Apt 3, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841071555 |
| Phone Number: | 8018644813 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 05/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 8363706004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |