Individual provider · Type 1 NPI
Kathryn Ann Fazzalare, LPC
Professional Counselor · Mount Clemens, MI
NPI number
1770463549
Active
Practice location
43565 Elizabeth St
Mount Clemens, MI 48043-1001
Fax (586) 307-9305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1770463549
Kathryn Ann Fazzalare, LPC's National Provider Identifier is 1770463549, issued on Sep 3, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mount Clemens, MI. The record was last updated on Oct 24, 2025.