Individual
BRIAN FANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 N HIGHLAND AVE, AURORA, IL 60506-1401
(630) 966-4110
Mailing address
1230 N HIGHLAND AVE, AURORA, IL 60506-1401
(630) 966-4110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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