Brian Fazio, QMHA, CADC

NPI #1447035373 in Lackawaxen, Pennsylvania

Provider Information

NPI Number: 1447035373
Entity Type: Individual
Name: Brian Fazio, QMHA, CADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: QMHA, CADC
Enumeration Date: Aug 29, 2023
Last Updated: Jan 10, 2026

Practice Location

Address: 811 MUSKET CT
City: Lackawaxen
State: Pennsylvania
ZIP Code: 18435-7802
Phone: (570) 229-5744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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