Individual provider · Type 1 NPI

Courtney M. Quast, LPC, SAC

Professional Counselor · Fort Atkinson, WI

NPI number 1003200692 Active

Practice location

201 Park St
Fort Atkinson, WI 53538

Fax (920) 568-6047

Mailing address

PO Box 249
Fort Atkinson, WI 53538-0249

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17387-130 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X16144-131 (WI)
Professional Counselor 101YP2500X1345-266 (WI)
Professional Counselor Primary 101YP2500X5992-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1003200692

Courtney M. Quast, LPC, SAC's National Provider Identifier is 1003200692, issued on Mar 23, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Atkinson, WI. The record was last updated on Jul 21, 2022.