Individual
BRIAN FOBIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC III
Contact information
Practice address
N84W15787 MENOMONEE AVE, SUITE 6, MENOMONEE FALLS, WI 53051-3081
(262) 255-5571
(262) 255-5581
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
(262) 641-9050
(262) 641-9126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10747
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39377600
—
WI
Enumeration date
07/22/2006
Last updated
11/30/2007
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