Individual
DR. CHRISTOPHER STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 934-3075
Mailing address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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