Individual
KRISTEN MICHELLE STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
271 REDWOOD CT, RAMSEY, NJ 07446-1188
(201) 669-9316
Mailing address
271 REDWOOD CT, RAMSEY, NJ 07446-1188
(201) 669-9316
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00424500
NJ
Other
Enumeration date
01/10/2012
Last updated
01/30/2024
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