Individual provider · Type 1 NPI

Joedy Lynn Fazenbaker, CLINICAL COUNSELOR

Counselor · Charleston, WV

NPI number 1336079532 Active

Practice location

713 Bigley Ave
Charleston, WV 25302-3356

Call (304) 746-2918 Map

Fax (304) 746-2919

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1336079532

Joedy Lynn Fazenbaker, CLINICAL COUNSELOR's National Provider Identifier is 1336079532, issued on May 20, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charleston, WV. The record was last updated on May 20, 2026.