person
Kenneth D Fasbender, CSAC,SCIT
Addiction (Substance Use Disorder) Counselor in Minocqua, Wisconsin
NPI 1508137712

Kenneth D Fasbender is an Addiction (Substance Use Disorder) Counselor based in Minocqua, WI and is specialized in Addiction (Substance Use Disorder). Kenneth D Fasbender practices in Minocqua, WI and has the professional credentials of CSAC,SCIT. The NPI Number for Kenneth D Fasbender is 1508137712 and holds a License No. 13112-132 (Wisconsin).

The current practice location address for Kenneth D Fasbender is 9433 County Rd J, Minocqua, WI and can be reached out via phone at 715-356-5377 and via fax at 715-356-5378.

Location: 9433 County Rd J, Minocqua, WI, 54548-9318
person
Provider Profile Details
NPI Number
1508137712
Provider Name
Kenneth D Fasbender
Credential
CSAC,SCIT
Provider Entity Type
Individual
Gender
Male
Address
9433 County Rd J, Minocqua, WI, 54548-9318
Phone Number
715-356-5377
Fax Number
715-356-5378
Provider Enumeration Date
01/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9433 County Rd J
City
State
Zip
54548-9318
Phone Number
715-356-5377
Fax Number
715-356-5378
person
Provider Business Mailing Address Details
Address
9433 County Rd J
City
State
Zip
54548-9318
Phone Number
715-356-5377
Fax Number
715-356-5378
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13112-132 (Wisconsin)
Definition
Definition to come...
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