Individual provider · Type 1 NPI
Maci Fast
Counselor · Corvallis, OR
NPI number
1497461792
Active
Practice location
4455 NE Hwy 20 Corvallis, Or 97330
Corvallis, OR 97330
Mailing address
3415 SE Powell Blvd
Portland, OR 97202-3371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Another provider at this address
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About NPI 1497461792
Maci Fast's National Provider Identifier is 1497461792, issued on Jan 30, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Corvallis, OR. The record was last updated on Jan 30, 2023.