Individual provider · Type 1 NPI

Jenna Stack, LCMHC-A, LCAS-A

Professional Counselor · Winston Salem, NC

NPI number 1174099790 Active

About NPI 1174099790

Jenna Stack, LCMHC-A, LCAS-A's National Provider Identifier is 1174099790, issued on Oct 22, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 18, 2022.