Stack, Virginia M

Stack, Virginia M is an sole proprietor health care provider with primary practice located at 1121 Warren Ave Suite 260, Downers Grove IL 60515-3570. 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, Virginia M can be contacted via phone (630) 841-8705.

Contact Information

Primary practice address
1121 Warren Ave Suite 260 Downers Grove IL 60515-3570
Phone: (630) 841-8705
Fax: (630) 820-5848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-003337 Illinois

Profile Details

NPI number 1306954557
LBN Legal business name Stack, Virginia M
Credentials M.S.; L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2006
Last updated Mar 14th, 2014 - about 10 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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