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Individual
DR. PATRICK CHARLES STACK
Active
Individual
DR. PATRICK CHARLES STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2775
MO
101YP2500X
Professional Counselor
000122
MO
106H00000X
Marriage & Family Therapist
300107
MO
Other
Enumeration date
05/15/2007
Last updated
09/11/2025
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