| Doctor Name: | MS. KATHRYN A STACK |
| NPI Number: | 1023162591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCMHC |
| License Number: | 1018 |
| Business Practice Address: | 111 Church St Laconia, NH - 032463432 |
| Business Phone Number: | 6035361118 |
| Business Fax Number: | |
| Mailing Address: | 45 Merrimack Dr, MERRIMACK |
| State: | NH |
| Postal Code: | 030544861 |
| Phone Number: | 6307856005 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 06/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |