Individual provider · Type 1 NPI
Peggy Defazio
Professional Counselor · Newport, OR
NPI number
1356755326
Active
Practice location
753 NW Brook St
Newport, OR 97365-3435
Mailing address
1638 N Coast Hwy
Newport, OR 97365-2357
Other practice locations
- 218 W Olive St, Newport, OR 97365-3813 · (541) 265-0884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C3495 (OR) |
Professional Counselor: Definition to come...
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About NPI 1356755326
Peggy Defazio's National Provider Identifier is 1356755326, issued on Jun 17, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newport, OR. The record was last updated on Jul 21, 2020.