Individual
ANNIE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4575 BYRD DR, LOVELAND, CO 80538-7198
(307) 920-7841
Mailing address
5252 CLOUD DANCE DR, TIMNATH, CO 80547-2308
(307) 920-7841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000659
CO
101YM0800X
Mental Health Counselor
Primary
LPC.0012238
CO
Other
Enumeration date
11/16/2012
Last updated
12/02/2024
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