institution
J. Thomas Stack, Ph.d., Pa
Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, North Carolina
NPI 1962519165

J. Thomas Stack, Ph.d., Pa is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Jacksonville, NC and is specialized in Mental Health (Including Community Mental Health Center). J. Thomas Stack, Ph.d., Pa practices in Jacksonville, NC. The NPI Number for J. Thomas Stack, Ph.d., Pa is 1962519165 and holds a License No. 0321 (North Carolina).

The current practice location address for J. Thomas Stack, Ph.d., Pa is 2444 Commerce Rd, Jacksonville, NC and can be reached out via phone at 910-347-5511 and via fax at 910-346-3970. You can also correspond with J. Thomas Stack, Ph.d., Pa through the mailing address at 2444 COMMERCE RD, JACKSONVILLE, NC - 28546-7560 (mailing address contact number: 910-347-5511).

Location: 2444 Commerce Rd, Jacksonville, NC, 28546-7560
institution
Provider Profile Details
NPI Number
1962519165
Provider Name
J. Thomas Stack, Ph.d., Pa
Credential
Provider Entity Type
Organization
Address
2444 Commerce Rd, Jacksonville, NC, 28546-7560
Phone Number
910-347-5511
Fax Number
910-346-3970
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6000016 05 NC
0320667 01 NC BLUE CROSS
8D26D8F5BE 01 TRICARE
institution
Provider Business Practice Location Address Details
Address
2444 Commerce Rd
City
State
Zip
28546-7560
Phone Number
910-347-5511
Fax Number
910-346-3970
person
Provider Business Mailing Address Details
Address
2444 Commerce Rd
City
State
Zip
28546-7560
Phone Number
910-347-5511
Fax Number
910-346-3970
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
0321 (North Carolina)
Definition
Definition to come...
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