Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN FAZIO, QMHA, CADC
Active Sole ProprietorBRIAN FAZIO, QMHA, CADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LACKAWAXEN, Pennsylvania. NPI 1447035373 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LACKAWAXEN, PA
Registration Details
- NPI Number
- 1447035373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2023 (2.9494201420432 yrs)
- Last Updated
- Jan 10, 2026
- Licenses
-
BH007954 (PA)18759 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
811 MUSKET CTLACKAWAXEN, PA, 184357802Browse PA providers · Browse ZIP 18435
- Phone
- 5702295744
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.