Individual
LESLIE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43335 K BEACH RD STE 16B, SOLDOTNA, AK 99669-8250
(907) 290-5540
Mailing address
PO BOX 463, KENAI, AK 99611-0463
(907) 460-0778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCOP828
AK
Other
Enumeration date
03/06/2021
Last updated
03/12/2026
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