Courtney Stack
Courtney Stack is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
210 W Capitol DrMilwaukee, WI 53212-1123
Phone: (414) 727-6320
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 6859-125 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1043685712 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 7, 2015 |
| Last updated in NPPES | October 20, 2022 |
| Certification date | October 20, 2022 |
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