Individual provider · Type 1 NPI
Melanie Defazio, LPC
Counselor · Pompton Lakes, NJ
NPI number
1235487646
Active
Practice location
103 Mountainside Dr
Pompton Lakes, NJ 07442-1760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 37PC00381500 (NJ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1235487646
Melanie Defazio, LPC's National Provider Identifier is 1235487646, issued on Aug 16, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pompton Lakes, NJ. The record was last updated on Aug 16, 2012.