Individual provider · Type 1 NPI
Kayla Fazzari, LPC
Professional Counselor · Milwaukee, WI
NPI number
1891313656
Active
Practice location
1432 W Forest Home Ave # 400
Milwaukee, WI 53204-3228
Fax (414) 567-5359
Mailing address
1432 W Forest Home Ave Ste 400
Milwaukee, WI 53204-3228
Other practice locations
- N168W20964 Main St, Jackson, WI 53037-9634 · (262) 510-4332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7720-125 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18558-130 (WI) |
Professional Counselor: Definition to come...
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About NPI 1891313656
Kayla Fazzari, LPC's National Provider Identifier is 1891313656, issued on Jul 8, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 21, 2023.