Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Patrick Charles Stack, DMIN

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407062383

Dr. Patrick Charles Stack, DMIN is an Addiction (Substance Use Disorder) Counselor in Kirkwood, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
Specialties on file
3

Practice location Address checks out

10702 Manchester Rd
Kirkwood, MO 63122-1321
Phone: (314) 966-1022
Fax: (314) 968-7126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 2775 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence 000122 (MO)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 300107 (MO)

Record details

NPI number1407062383
Entity typeIndividual (Type 1)
GenderMale
Credentials DMIN
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address11 Villawood Ln, Webster Groves, MO 63119-4916

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