person
Anastasia Stacy Wyatt, CADC
Addiction (Substance Use Disorder) Counselor in Munfordville, Kentucky
NPI 1245365527

Anastasia Stacy Wyatt is an Addiction (Substance Use Disorder) Counselor based in Bowling Green, KY and is specialized in Addiction (Substance Use Disorder). Anastasia Stacy Wyatt practices in Munfordville, KY and has the professional credentials of CADC. The NPI Number for Anastasia Stacy Wyatt is 1245365527 and holds a License No. 0762 (Kentucky).

The current practice location address for Anastasia Stacy Wyatt is 118 West Union Street, Munfordville, KY and can be reached out via phone at 270-524-9883 and via fax at 270-524-0437.

Location: 118 West Union Street, Munfordville, KY, 42101-6304
person
Provider Profile Details
NPI Number
1245365527
Provider Name
Anastasia Stacy Wyatt
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
118 West Union Street, Munfordville, KY, 42101-6304
Phone Number
270-524-9883
Fax Number
270-524-0437
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30604011 05 KY
institution
Provider Business Practice Location Address Details
Address
118 West Union Street
City
State
Zip
42765
Phone Number
270-524-9883
Fax Number
270-524-0437
person
Provider Business Mailing Address Details
Address
118 West Union Street
City
State
Zip
42765
Phone Number
270-524-9883
Fax Number
270-524-0437
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0762 (Kentucky)
Definition
Definition to come...
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