Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY DEFAZIO, MA
Active Sole ProprietorANTHONY DEFAZIO, MA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WALL, New Jersey. NPI 1962850198 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WALL, NJ
Registration Details
- NPI Number
- 1962850198
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2016 (10.194754917775 yrs)
- Last Updated
- Mar 7, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
1540 RTE 138 STE 202WALL, NJ, 077193765Browse NJ providers · Browse ZIP 07719
- Phone
- 7329841263
- Fax
- 7325159159
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WALL, NJ
| Name | Credential | NPI |
|---|---|---|
| SARAH JASAK | LCADC | 1760844633 |
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.