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SHANE BASTAR, SAC-IT
SAC-IT
Addiction (Substance Use Disorder) Counselor
NPI: 1457044000Individual
Specialties, Licenses & Credentials
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
20212-130(WI)
Contact & Hours
- Address
- 2357 W MASON ST
GREEN BAY, WI 54303 - Phone
- (920) 337-6740
Quick Facts
- NPI
- 1457044000
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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