Stack, Kathryn A

Stack, Kathryn A is an individual health care provider with primary practice located at 111 Church St , Laconia NH 03246-3432. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stack, Kathryn A can be contacted via phone (603) 536-1118.

Contact Information

Primary practice address
111 Church St Laconia NH 03246-3432
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1018 New Hampshire

Profile Details

NPI number 1023162591
LBN Legal business name Stack, Kathryn A
Credentials LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 11th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023162591 NPPES
New Hampshire MEDICAID 30010118

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