Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICK CHARLES STACK, D.MIN
Active Sole ProprietorDR. PATRICK CHARLES STACK, D.MIN is a Addiction (Substance Use Disorder) Counselor healthcare provider located in KIRKWOOD, Missouri. NPI 1407062383 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · KIRKWOOD, MO
Registration Details
- NPI Number
- 1407062383
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.270471338067 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
2775 (MO)000122 (MO)300107 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10702 MANCHESTER RDKIRKWOOD, MO, 631221321Browse MO providers · Browse ZIP 63122
- Phone
- 3149661022
- Fax
- 3149687126
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Marriage & Family Therapist
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.