Individual provider · Type 1 NPI
Courtney Stack
Counselor · Milwaukee, WI
NPI number
1043685712
Active
Practice location
210 W Capitol Dr
Milwaukee, WI 53212-1123
Mailing address
1812 E Howard Ave
Milwaukee, WI 53207-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Counselor Primary | 101Y00000X | 6859-125 (WI) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1043685712
Courtney Stack's National Provider Identifier is 1043685712, issued on Dec 7, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 20, 2022.