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

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