Individual
BRENDEN FASKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 PEORIA ST, PERU, IL 61354-3351
(815) 780-0690
(815) 410-1937
Mailing address
710 PEORIA ST, PERU, IL 61354-3351
(815) 780-0690
(815) 410-1937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
04/17/2024
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