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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701014635 (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.