Ms Kathryn A Stack, LCMHC | |
111 Church St, Laconia, NH 03246-3432 | |
(603) 536-1118 | |
Not Available |
Full Name | Ms Kathryn A Stack |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 111 Church St, Laconia, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023162591 | NPI | - | NPPES |
30010118 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1018 (New Hampshire) | Primary |
Entity Name | Family Guidance Center Of Milford |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699929463 PECOS PAC ID: 9830106327 Enrollment ID: O20060308000292 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathryn A Stack, LCMHC 45 Merrimack Dr, Merrimack, NH 03054-4861 Ph: (630) 785-6005 | Ms Kathryn A Stack, LCMHC 111 Church St, Laconia, NH 03246-3432 Ph: (603) 536-1118 |
Ms. Tiffani Ann Arsenault, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Church St, Laconia, NH 03246 Phone: 603-524-1100 | |
Ms. Lisa Giguere Fortson, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 Lafayette St, Laconia, NH 03246 Phone: 603-491-4573 | |
Mr. Phillip Buck Whitcher, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Church St, Laconia, NH 03246 Phone: 603-524-1100 | |
Rodney Ed Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 771 N Main Street, Laconia, NH 03246 Phone: 603-524-1100 | |
Sarah Lovering, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Church St, Laconia, NH 03246 Phone: 603-524-1100 | |
Mackenzie Desclos, Counselor Medicare: Medicare Enrolled Practice Location: 40 Beacon St E, Laconia, NH 03246 Phone: 603-524-1100 |