person
Misty Fast, SAC-IT
Addiction (Substance Use Disorder) Counselor in Spooner, Wisconsin
NPI 1235748815

Misty Fast is an Addiction (Substance Use Disorder) Counselor based in Spooner, WI and is specialized in Addiction (Substance Use Disorder). Misty Fast practices in Spooner, WI and has the professional credentials of SAC-IT. The NPI Number for Misty Fast is 1235748815 and holds a License No. 18954-130 (Wisconsin).

The current practice location address for Misty Fast is 819 Ash St, Spooner, WI and can be reached out via phone at 715-939-1248 and via fax at 715-939-1248.

Location: 819 Ash St, Spooner, WI, 54801-0093
person
Provider Profile Details
NPI Number
1235748815
Provider Name
Misty Fast
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
819 Ash St, Spooner, WI, 54801-0093
Phone Number
715-939-1248
Fax Number
715-939-1248
Provider Enumeration Date
07/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
819 Ash St
City
State
Zip
54801-1201
Phone Number
715-939-1248
Fax Number
715-939-1248
person
Provider Business Mailing Address Details
Address
819 Ash St
City
State
Zip
54801-1201
Phone Number
715-939-1248
Fax Number
715-939-1248
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18954-130 (Wisconsin)
Definition
Definition to come...
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