| Misty Fast, SAC-IT | |
|
203 United Way, Frederic, WI 54837-8938 | |
| (715) 327-4402 | |
| Not Available |
| Full Name | Misty Fast |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 203 United Way, Frederic, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235748815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12168-123 (Wisconsin) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18954-130 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Fast, SAC-IT 203 United Way, Frederic, WI 54837-8938 Ph: (715) 327-4402 | Misty Fast, SAC-IT 203 United Way, Frederic, WI 54837-8938 Ph: (715) 327-4402 |
Kristina M Thompson, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 107 Hope Road West, Frederic, WI 54837 Phone: 715-869-6484 Fax: 800-684-2131 |