MR. Kellan Jace Stack, LCSW
NPI #1114499811 in Evans, Colorado
Provider Information
- NPI Number
- 1114499811
- Entity Type
- Individual
- Name
- MR. Kellan Jace Stack, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 19, 2018
- Last Updated
- Jul 1, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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