| Brenden Fasken, | |
|
710 Peoria St, Peru, IL 61354-3351 | |
| (815) 780-0690 | |
| (815) 410-1937 |
| Full Name | Brenden Fasken |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 710 Peoria St, Peru, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043991961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brenden Fasken, 710 Peoria St, Peru, IL 61354-3351 Ph: (815) 780-0690 | Brenden Fasken, 710 Peoria St, Peru, IL 61354-3351 Ph: (815) 780-0690 |
Vanessa Abellan, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Peoria St, Peru, IL 61354 Phone: 815-780-0690 Fax: 815-410-1937 | |
Kayla Marie Fallen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Peoria St, Peru, IL 61354 Phone: 815-780-0690 Fax: 815-410-1937 | |
Kevin F. Mclendon, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 West St, Peru, IL 61354 Phone: 815-780-3696 Fax: 815-780-3756 | |
Breann Michele Gray, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 West St Ste 116, Peru, IL 61354 Phone: 815-780-3696 | |
Robert Powell, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2513 5th St, Peru, IL 61354 Phone: 815-343-2440 | |
Ms. Jacqueline Wroblewski, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1518 Peoria St, Peru, IL 61354 Phone: 815-200-9635 |