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Individual
MR. SEBASTIAN BACH FASTRICH
Active
Individual
MR. SEBASTIAN BACH FASTRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LMSW, ICADC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801119757
MI
1041C0700X
Clinical Social Worker
SW21875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-02071
CERTIFIED ALCOHOL AND DRUG COUNSELOR
MI
01
—
6801119757
STATE LICENSE
MI
01
—
ICADC.0000142
INTERNATIONALLY CERTIFIED ALCOHOL & DRUG COUNSELOR
FL
01
—
MCAP.0101133
MASTERS LEVEL CERTIFIED ADDICTION'S PROFESSIONAL
FL
Enumeration date
09/15/2021
Last updated
07/23/2025
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