Individual provider · Type 1 NPI

Megan Kay Fazenbaker, LPC

Addiction (Substance Use Disorder) Counselor · Leesburg, VA

NPI number 1366635336 Active

Practice location

102 Heritage Way NE, Suite 302
Leesburg, VA 20176-4544

Fax (703) 777-0170

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Marriage & Family Therapist 106H00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0701004966 (VA)

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About NPI 1366635336

Megan Kay Fazenbaker, LPC's National Provider Identifier is 1366635336, issued on Aug 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Leesburg, VA. The record was last updated on Dec 13, 2010.