Individual provider · Type 1 NPI

Nicholas Daniel Defazio, LPCC-S, LICDC

Mental Health Counselor · Dayton, OH

NPI number 1578170403 Active

Practice location

1951 S Gettysburg Ave
Dayton, OH 45417-4160

Call (937) 496-7302 Map

Mailing address

3012 Whittier Ave
Kettering, OH 45420-2114

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578170403

Nicholas Daniel Defazio, LPCC-S, LICDC's National Provider Identifier is 1578170403, issued on Sep 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on Sep 24, 2020.