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Dr. Patrick Charles Stack, DMIN
Marriage & Family Therapist in Kirkwood, Missouri
NPI 1407062383

Patrick Charles Stack is a Marriage & Family Therapist based in Webster Groves, MO. Patrick Charles Stack practices in Kirkwood, MO and has the professional credentials of DMIN. The NPI Number for Patrick Charles Stack is 1407062383 and holds a License No. 2775 (Missouri).

The current practice location address for Patrick Charles Stack is 10702 Manchester Rd, Kirkwood, MO and can be reached out via phone at 314-966-1022 and via fax at 314-968-7126. You can also correspond with Patrick Charles Stack through the mailing address at 11 VILLAWOOD LN, WEBSTER GROVES, MO - 63119-4916 (mailing address contact number: 314-963-1962).

Location: 10702 Manchester Rd, Kirkwood, MO, 63119-4916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407062383
Provider Name
Patrick Charles Stack
Credential
DMIN
Provider Entity Type
Individual
Gender
Male
Address
10702 Manchester Rd, Kirkwood, MO, 63119-4916
Phone Number
314-966-1022
Fax Number
314-968-7126
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10702 Manchester Rd
City
Kirkwood
State
Missouri
Zip
63122-1321
Phone Number
314-966-1022
Fax Number
314-968-7126
person
Provider Business Mailing Address Details
Address
11 Villawood Ln
City
Webster Groves
State
Missouri
Zip
63119-4916
Phone Number
314-963-1962
Fax Number
314-968-7126
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
300107 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
000122 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
2775 (Missouri)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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