MR. Christopher L Stack, M.A./DOCTORAL STUDEN

NPI #1932480415 in Walbridge, Ohio

Provider Information

NPI Number
1932480415
Entity Type
Individual
Name
MR. Christopher L Stack, M.A./DOCTORAL STUDEN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
M.A./DOCTORAL STUDEN
Enumeration Date
Aug 29, 2011
Last Updated
Aug 29, 2011

Practice Location

Address
5693 BLUE GRASS DR
State
Ohio
ZIP Code
43465-1148
Phone
(419) 838-7626

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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