Brenden Fasken

NPI #1043991961 in Peru, Illinois

Provider Information

NPI Number
1043991961
Entity Type
Individual
Name
Brenden Fasken
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 25, 2023
Last Updated
Apr 17, 2024

Practice Location

Address
710 PEORIA ST
City
Peru
ZIP Code
61354-3351
Phone
(815) 780-0690

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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