Individual provider · Type 1 NPI

Lisa Fast

Addiction (Substance Use Disorder) Counselor · Bemidji, MN

NPI number 1598537409 Active

Practice location

1705 Anne St NW
Bemidji, MN 56601-6151

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X306950 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1598537409

Lisa Fast's National Provider Identifier is 1598537409, issued on Oct 24, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bemidji, MN. The record was last updated on Feb 20, 2025.