Individual
COURTNEY M QUAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
201 PARK ST, FORT ATKINSON, WI 53538
(920) 563-9542
(920) 568-6047
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 568-5411
(920) 568-4004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16144-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17387-130
WI
101YP2500X
Professional Counselor
1345-266
WI
101YP2500X
Professional Counselor
Primary
5992-125
WI
Other
Enumeration date
03/23/2015
Last updated
07/21/2022
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