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Mr. Charles Fazzino, LPC
Professional Counselor in Pueblo, Colorado
NPI 1124238118

Charles Fazzino is a Professional Counselor based in Pueblo, CO and is specialized in Professional. Charles Fazzino practices in Pueblo, CO and has the professional credentials of LPC. The NPI Number for Charles Fazzino is 1124238118 and holds a License No. ACD.0000024 (Colorado).

The current practice location address for Charles Fazzino is 41 Montebello Rd Ste Ll1, Pueblo, CO and can be reached out via phone at 719-545-2746 and via fax at 719-542-9638.

Location: 41 Montebello Rd Ste Ll1, Pueblo, CO, 81001-1366
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Provider Profile Details
NPI Number
1124238118
Provider Name
Charles Fazzino
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
41 Montebello Rd Ste Ll1, Pueblo, CO, 81001-1366
Phone Number
719-545-2746
Fax Number
719-542-9638
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26306760 05 CO
institution
Provider Business Practice Location Address Details
Address
41 Montebello Rd Ste Ll1
City
State
Zip
81001-1379
Phone Number
719-545-2746
Fax Number
719-542-9638
person
Provider Business Mailing Address Details
Address
41 Montebello Rd Ste Ll1
City
State
Zip
81001-1379
Phone Number
719-545-2746
Fax Number
719-542-9638
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC.0000092 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
ACD.0000024 (Colorado)
Definition
Definition to come...
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