Individual provider · Type 1 NPI

John A. Fazio

Mental Health Counselor · Melbourne, FL

NPI number 1245595941 Active

Practice location

400 E Sheridan Rd
Melbourne, FL 32901-3122

Mailing address

2000 Commerce Dr
West Melbourne, FL 32904-2335

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1245595941

John A. Fazio's National Provider Identifier is 1245595941, issued on Jul 9, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Jul 9, 2012.