Anastasia Stacy Wyatt, CADC
NPI #1245365527 in Munfordville, Kentucky
Provider Information
- NPI Number
- 1245365527
- Entity Type
- Individual
- Name
- Anastasia Stacy Wyatt, CADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CADC
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 118 WEST UNION STREET
- City
- Munfordville
- State
- Kentucky
- ZIP Code
- 42765
- Phone
- (270) 524-9883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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