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

Jenna Stack, LCMHC-A, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174099790

Jenna Stack, LCMHC-A, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2806 Reynolda Rd Ste 257
Winston Salem, NC 27106-3102
Phone: (336) 223-6700
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A14431 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-24745 (NC)

Record details

NPI number1174099790
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC-A , LCAS-A
Sole proprietorYes
NPI enumeratedOctober 22, 2018
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022

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