Individual provider · Type 1 NPI
Kevin Adam Difazio
Professional Counselor · Richmond, VA
NPI number
1376342402
Active
Practice location
3536 Grove Ave
Richmond, VA 23221-2200
Mailing address
432 Westover Hills Blvd Apt 8
Richmond, VA 23225-6305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701014635 (VA) |
Professional Counselor: Definition to come...
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About NPI 1376342402
Kevin Adam Difazio's National Provider Identifier is 1376342402, issued on Mar 11, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richmond, VA. The record was last updated on Mar 11, 2025.