Mr Christopher L Stack, MA/DOCTORAL STUDEN is a
Counselor - Mental Health based in Walbridge, Ohio. Mr Christopher L Stack is licensed to practice in Ohio (license number C.0700856) and his current practice location is
5693 Blue Grass Dr, Walbridge, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 838-7626.
NPI number for Mr Christopher L Stack is 1932480415 and his current mailing address is 5693 Blue Grass Dr, Walbridge, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932480415.
Healthcare Provider's Profile
Full Name | Mr Christopher L Stack |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 5693 Blue Grass Dr, Walbridge, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932480415
- Provider Enumeration Date: 08/29/2011
- Last Update Date: 08/29/2011
Medical Identifiers
Medical identifiers for Mr Christopher L Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932480415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | C.0700856 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Christopher L Stack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Christopher L Stack, MA/DOCTORAL STUDEN 5693 Blue Grass Dr, Walbridge, OH 43465-1148 Ph: (419) 838-7626 | Mr Christopher L Stack, MA/DOCTORAL STUDEN 5693 Blue Grass Dr, Walbridge, OH 43465-1148 Ph: (419) 838-7626 |
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