Individual provider · Type 1 NPI
Tracy Dawn Fazzone, M.A., LPC, RPT
Professional Counselor · San Antonio, TX
NPI number
1518516111
Active
Practice location
1302 W Blanco Rd
San Antonio, TX 78232-1014
Mailing address
1830 Fawn Blf
San Antonio, TX 78248-1579
Other practice locations
- 8310 Ewing Halsell Dr, San Antonio, TX 78229-3715 · (210) 616-0885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 74588 (TX) |
Professional Counselor: Definition to come...
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About NPI 1518516111
Tracy Dawn Fazzone, M.A., LPC, RPT's National Provider Identifier is 1518516111, issued on Sep 5, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Sep 5, 2019.