Individual
MRS. ANNA NICOLE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3129 KINGSLEY DR STE 840, PEARLAND, TX 77584-8508
(281) 818-6758
Mailing address
3129 KINGSLEY DR STE 840, PEARLAND, TX 77584-8508
(281) 818-6758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39246
TX
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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