Stack, Brendan

Stack, Brendan is an sole proprietor health care provider with primary practice located at 5 Brookside Ave # 2 , Winsted CT 06098-1101. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Stack, Brendan can be contacted via phone (518) 610-4528.

Contact Information

Primary practice address
5 Brookside Ave # 2 Winsted CT 06098-1101
Phone: (518) 610-4528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001323 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 4530 Connecticut

Profile Details

NPI number 1316403892
LBN Legal business name Stack, Brendan
Credentials LPC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2019
Last updated Jul 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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