Individual
DANIELLE JOSEPHINE STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
304 GALLATIN PARK DR UNIT 108, BOZEMAN, MT 59715-7907
(406) 510-1939
Mailing address
355 WATER LILY DR, BOZEMAN, MT 59718-7777
(507) 351-5307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
38719
MT
101YM0800X
Mental Health Counselor
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Other
Enumeration date
08/16/2020
Last updated
07/13/2023
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