Individual provider · Type 1 NPI

Amy Marie Stack, LPC

Mental Health Counselor · Waterbury, CT

NPI number 1619101227 Active

Practice location

70 Pine St
Waterbury, CT 06710-2169

Call (203) 597-1935 Map

Fax (203) 597-8711

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001599 (CT)

Mental Health Counselor: Definition to come...

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About NPI 1619101227

Amy Marie Stack, LPC's National Provider Identifier is 1619101227, issued on May 11, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterbury, CT. The record was last updated on May 11, 2009.