Individual provider · Type 1 NPI
Angel Fazio
Mental Health Counselor · Imperial, PA
NPI number
1164957775
Active
Practice location
307 Walden Way
Imperial, PA 15126-9639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PC020441 (PA) |
Mental Health Counselor: Definition to come...
About NPI 1164957775
Angel Fazio's National Provider Identifier is 1164957775, issued on Apr 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Imperial, PA. The record was last updated on Jun 18, 2026.