Individual
MRS. KATHRYN ANN FAZZALARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
43565 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1001
(586) 307-9464
(586) 307-9305
Mailing address
43565 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1001
(586) 307-9464
(586) 307-9305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MI
Other
Enumeration date
09/03/2025
Last updated
10/24/2025
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