Stack, Courtney

Stack, Courtney is an individual health care provider with primary practice located at 210 W Capitol Dr , Milwaukee WI 53212-1123. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Stack, Courtney can be contacted via phone (414) 727-6320.

Contact Information

Primary practice address
210 W Capitol Dr Milwaukee WI 53212-1123
Phone: (414) 727-6320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6859-125 Wisconsin

Profile Details

NPI number 1043685712
LBN Legal business name Stack, Courtney
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2015
Last updated Oct 20th, 2022 - about 4 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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