Maia Stack

NPI #1588261630 in Sitka, Alaska

Provider Information

NPI Number: 1588261630
Entity Type: Individual
Name: Maia Stack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 1, 2020
Last Updated: Nov 23, 2020

Practice Location

Address: 222 TONGASS DR BLDG 1206
City: Sitka
State: Alaska
ZIP Code: 99835-9416
Phone: (907) 966-8714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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