person
Brendan Stack, LPC,LADC
Professional Counselor in Winsted, Connecticut
NPI 1316403892

Brendan Stack is a Professional Counselor based in Southbury, CT and is specialized in Professional. Brendan Stack practices in Winsted, CT and has the professional credentials of LPC,LADC. The NPI Number for Brendan Stack is 1316403892 and holds a License No. 001323 (Connecticut).

The current practice location address for Brendan Stack is 5 Brookside Ave # 2, Winsted, CT and can be reached out via phone at 518-610-4528.

Location: 5 Brookside Ave # 2, Winsted, CT, 06488-2122
person
Provider Profile Details
NPI Number
1316403892
Provider Name
Brendan Stack
Credential
LPC,LADC
Provider Entity Type
Individual
Gender
Male
Address
5 Brookside Ave # 2, Winsted, CT, 06488-2122
Phone Number
518-610-4528
Fax Number
Provider Enumeration Date
02/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5 Brookside Ave # 2
City
State
Zip
06098-1101
Phone Number
518-610-4528
Fax Number
person
Provider Business Mailing Address Details
Address
5 Brookside Ave # 2
City
State
Zip
06098-1101
Phone Number
518-610-4528
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4530 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001323 (Connecticut)
Definition
Definition to come...
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