Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA STACK, LCMHC-A, LCAS-A
Active Sole ProprietorJENNA STACK, LCMHC-A, LCAS-A is a Professional Counselor healthcare provider located in WINSTON SALEM, North Carolina. NPI 1174099790 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1174099790
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2018 (7.8046346145277 yrs)
- Last Updated
- Feb 18, 2022
- Licenses
-
LCAS-24745 (NC)A14431 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2806 REYNOLDA RD STE 257WINSTON SALEM, NC, 271063102Browse NC providers · Browse ZIP 27106
- Phone
- 3362236700
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| CECELIA B. WESTMORELAND | LPC, LCAS | 1700863776 |
| MRS. VICKI DEANNE CARR | LPC | 1891774881 |
| MR. DENNIS PAUL MAUK | LPC | 1346229333 |
| MR. JEFFREY LYNN UNGETHEIM | MA MDIV LPC | 1710966726 |
| MRS. KAREN YOLANDA CLEMMONS GARNER | LPC | 1295781599 |
| MS. TOMMIE S. JACKSON | — | 1093754673 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.