Stack, Patrick Charles

Stack, Patrick Charles is an sole proprietor health care provider with primary practice located at 10702 Manchester Rd , Kirkwood MO 63122-1321. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Stack, Patrick Charles can be contacted via phone (314) 966-1022.

Contact Information

Primary practice address
10702 Manchester Rd Kirkwood MO 63122-1321
Phone: (314) 966-1022
Fax: (314) 968-7126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2775 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 000122 Missouri
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 300107 Missouri

Profile Details

NPI number 1407062383
LBN Legal business name Stack, Patrick Charles
Credentials D.MIN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 18 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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