Individual
ANGEL FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 WALDEN WAY, IMPERIAL, PA 15126-9639
(724) 263-3920
Mailing address
307 WALDEN WAY, IMPERIAL, PA 15126-9639
(724) 263-3920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
Primary
PC020441
PA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
06/18/2026
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