Organization
FAMILY COUNSELING CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK FAZZOLARI (EXECUTIVE DIRECTOR)
(304) 340-3676
Entity
Organization
Contact information
Practice address
1021 QUARRIER ST, #414, CHARLESTON, WV 25301-2338
(304) 340-3676
(304) 340-3575
Mailing address
1021 QUARRIER ST, #414, CHARLESTON, WV 25301-2338
(304) 340-3676
(304) 340-3575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
131
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023815000
—
WV
Enumeration date
04/10/2007
Last updated
08/22/2020
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