MR. Brendan Stack, LPC, LADC
NPI #1316403892 in Southbury, Connecticut
Provider Information
- NPI Number
- 1316403892
- Entity Type
- Individual
- Name
- MR. Brendan Stack, LPC, LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, LADC
- Enumeration Date
- Feb 20, 2019
- Last Updated
- Jul 18, 2025
Practice Location
- Address
- 519 HERITAGE RD STE 2A5
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488-6694
- Phone
- (518) 610-4528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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