person
Stacy Melissa Ishack
Professional Counselor in Bridgeport, Connecticut
NPI 1124786546

Stacy Melissa Ishack is a Professional Counselor based in Bridgeport, CT and is specialized in Professional. Stacy Melissa Ishack practices in Bridgeport, CT. The NPI Number for Stacy Melissa Ishack is 1124786546 and holds a License No. 5029 (Connecticut).

The current practice location address for Stacy Melissa Ishack is 475 Clinton Ave, Bridgeport, CT and can be reached out via phone at 203-368-5500.

Location: 475 Clinton Ave, Bridgeport, CT, 06605-1700
person
Provider Profile Details
NPI Number
1124786546
Provider Name
Stacy Melissa Ishack
Credential
Provider Entity Type
Individual
Gender
Female
Address
475 Clinton Ave, Bridgeport, CT, 06605-1700
Phone Number
203-368-5500
Fax Number
Provider Enumeration Date
12/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
475 Clinton Ave
City
State
Zip
06605-1700
Phone Number
203-368-5500
Fax Number
person
Provider Business Mailing Address Details
Address
475 Clinton Ave
City
State
Zip
06605-1700
Phone Number
203-368-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5029 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5029 (Connecticut)
Definition
Definition to come...
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