person
Kevin Fasig, LPCC-S,LICDC
Professional Counselor in Medina, Ohio
NPI 1245588375

Kevin Fasig is a Professional Counselor based in Medina, OH and is specialized in Professional. Kevin Fasig practices in Medina, OH and has the professional credentials of LPCC-S,LICDC. The NPI Number for Kevin Fasig is 1245588375 and holds a License No. LICDC.161660 (Ohio).

The current practice location address for Kevin Fasig is 246 Northland Dr Ste 200A, Medina, OH and can be reached out via phone at 330-725-9195 and via fax at 330-725-9187.

Location: 246 Northland Dr Ste 200A, Medina, OH, 44256-3440
person
Provider Profile Details
NPI Number
1245588375
Provider Name
Kevin Fasig
Credential
LPCC-S,LICDC
Provider Entity Type
Individual
Gender
Male
Address
246 Northland Dr Ste 200A, Medina, OH, 44256-3440
Phone Number
330-725-9195
Fax Number
330-725-9187
Provider Enumeration Date
08/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0181362 05 OH
institution
Provider Business Practice Location Address Details
Address
246 Northland Dr Ste 200A
City
State
Zip
44256-3440
Phone Number
330-725-9195
Fax Number
330-725-9187
person
Provider Business Mailing Address Details
Address
246 Northland Dr Ste 200A
City
State
Zip
44256-3440
Phone Number
330-725-9195
Fax Number
330-725-9187
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LE-00019042 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LICDC.161660 (Ohio)
Definition
Definition to come...
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