Misty Fast, SAC-IT

NPI #1235748815 in Spooner, Wisconsin

Provider Information

NPI Number
1235748815
Entity Type
Individual
Name
Misty Fast, SAC-IT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
SAC-IT
Enumeration Date
Jul 29, 2020
Last Updated
Jul 29, 2020

Practice Location

Address
819 ASH ST
ZIP Code
54801-1201
Phone
(715) 939-1248

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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