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Brenden Fasken
Addiction (Substance Use Disorder) Counselor in La Salle, Illinois
NPI 1043991961

Brenden Fasken is an Addiction (Substance Use Disorder) Counselor based in La Salle, IL and is specialized in Addiction (Substance Use Disorder). Brenden Fasken practices in La Salle, IL. The NPI Number for Brenden Fasken is 1043991961 and holds a License No. (Illinois).

The current practice location address for Brenden Fasken is 111 Bucklin St Ste 1, La Salle, IL and can be reached out via phone at 815-780-0690.

Location: 111 Bucklin St Ste 1, La Salle, IL, 61301-2382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043991961
Provider Name
Brenden Fasken
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 Bucklin St Ste 1, La Salle, IL, 61301-2382
Phone Number
815-780-0690
Fax Number
Provider Enumeration Date
07/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Bucklin St Ste 1
City
La Salle
State
Illinois
Zip
61301-2382
Phone Number
815-780-0690
Fax Number
person
Provider Business Mailing Address Details
Address
111 Bucklin St Ste 1
City
La Salle
State
Illinois
Zip
61301-2382
Phone Number
815-780-0690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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