| Doctor Name: | MS. ANTOINETTE MARIE STOUT |
| NPI Number: | 1336237478 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | 3494-125 |
| Business Practice Address: | 6419 S Howell Ave Oak Creek, WI - 531541103 |
| Business Phone Number: | 4143045713 |
| Business Fax Number: | |
| Mailing Address: | 3394 W Sycamore St, FRANKLIN |
| State: | WI |
| Postal Code: | 531328348 |
| Phone Number: | 4144235409 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 02/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3494-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |