Individual
CHRISTINA STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 SAW MILL CT, SARATOGA SPRINGS, NY 12866-5696
(518) 573-1554
Mailing address
PO BOX 7955, PORTLAND, ME 04112-7955
(781) 629-9713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
11/13/2014
Last updated
01/22/2019
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