Kenneth D Fasbender, CSAC, SCIT

NPI #1508137712 in Minocqua, Wisconsin

Provider Information

NPI Number: 1508137712
Entity Type: Individual
Name: Kenneth D Fasbender, CSAC, SCIT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CSAC, SCIT
Enumeration Date: Jan 19, 2012
Last Updated: Jan 19, 2012

Practice Location

Address: 9433 COUNTY RD J
City: Minocqua
State: Wisconsin
ZIP Code: 54548-9318
Phone: (715) 356-5377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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