Individual provider · Type 1 NPI

Kenneth D. Fasbender, CSAC, SCIT

Addiction (Substance Use Disorder) Counselor · Minocqua, WI

NPI number 1508137712 Active

About NPI 1508137712

Kenneth D. Fasbender, CSAC, SCIT's National Provider Identifier is 1508137712, issued on Jan 19, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minocqua, WI. The record was last updated on Jan 19, 2012.