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NPI Code Detail

MEDICARE: JAYLA EMERAL OUTEN

MEDICARE: JAYLA EMERAL OUTEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1306775440
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLA EMERAL OUTEN
Provider Business Mailing Address
First Line : 801 N PIKE W
Second Line :
City : SUMTER
State : SC
Zip : 29153-1906
Country : US
Telephone Number : 803-934-4087
Fax Number :
Provider Business Practice Location Address
First Line : 801 N PIKE W
Second Line :
City : SUMTER
State : SC
Zip : 29153-1906
Country : US
Telephone Number : 803-934-4087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2026
Last Update Date : 05/15/2026

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Directions to “ JAYLA EMERAL OUTEN ” Practice Location

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