person
Jenna Stack, LCMHC-A,LCAS-A
Professional Counselor in Winston Salem, North Carolina
NPI 1174099790

Jenna Stack is a Professional Counselor based in Winston Salem, NC and is specialized in Professional. Jenna Stack practices in Winston Salem, NC and has the professional credentials of LCMHC-A,LCAS-A. The NPI Number for Jenna Stack is 1174099790 and holds a License No. LCAS-24745 (North Carolina).

The current practice location address for Jenna Stack is 2806 Reynolda Rd Ste 257, Winston Salem, NC and can be reached out via phone at 336-223-6700.

Location: 2806 Reynolda Rd Ste 257, Winston Salem, NC, 27106-3102
person
Provider Profile Details
NPI Number
1174099790
Provider Name
Jenna Stack
Credential
LCMHC-A,LCAS-A
Provider Entity Type
Individual
Gender
Female
Address
2806 Reynolda Rd Ste 257, Winston Salem, NC, 27106-3102
Phone Number
336-223-6700
Fax Number
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2806 Reynolda Rd Ste 257
City
State
Zip
27106-3102
Phone Number
336-223-6700
Fax Number
person
Provider Business Mailing Address Details
Address
2806 Reynolda Rd Ste 257
City
State
Zip
27106-3102
Phone Number
336-223-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A14431 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCAS-24745 (North Carolina)
Definition
Definition to come...
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