Individual provider · Type 1 NPI

Kevin Fasig, LPCC-S, LICDC

Professional Counselor · Medina, OH

NPI number 1245588375 Active

Practice location

246 Northland Dr Ste 200A
Medina, OH 44256-3440

Call (330) 725-9195 Map

Fax (330) 725-9187

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.161660 (OH)
Professional Counselor 101YP2500XLE-00019042 (OH)
Professional Counselor Primary 101YP2500XE.1300003-SUPV (OH)

Professional Counselor: Definition to come...

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About NPI 1245588375

Kevin Fasig, LPCC-S, LICDC's National Provider Identifier is 1245588375, issued on Aug 21, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medina, OH. The record was last updated on Mar 26, 2020.