LESLIE FAZIO
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1225623762- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 43335 K BEACH RD STE 16B, SOLDOTNA, AK, 996698250
- Phone
- (907) 290-5540
Specialties & Taxonomies
Counselor, Professional
Primary License: AK #PCOP828