Individual
BRETT AUSTIN VACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2440 TECH DR STE 3, BETTENDORF, IA 52722-7004
(217) 218-3456
Mailing address
8213 10TH ST W, ROCK ISLAND, IL 61201-7744
(217) 218-3456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180011170
IL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427426873
NPI
—
Enumeration date
09/02/2015
Last updated
12/28/2022
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