Brian Fazio, QMHA, CADC - Counselor in Lackawaxen, PA

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Brian Fazio, QMHA, CADC is a Counselor - Addiction (substance Use Disorder) based in Lackawaxen, Pennsylvania. Brian Fazio is licensed to practice in Pennsylvania (license number 18759) and his current practice location is 811 Musket Ct, Lackawaxen, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (570) 229-5744.

NPI number for Brian Fazio is 1447035373 and his current mailing address is 811 Musket Ct, Lackawaxen, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447035373.

Contact Information

Brian Fazio, QMHA, CADC
811 Musket Ct,
Lackawaxen, PA 18435-7802
(570) 229-5744
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameBrian Fazio
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location811 Musket Ct, Lackawaxen, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447035373
  • Provider Enumeration Date: 08/29/2023
  • Last Update Date: 01/10/2026

Medical Identifiers

Medical identifiers for Brian Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447035373NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health BH007954 (Pennsylvania)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 18759 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Fazio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian Fazio, QMHA, CADC
811 Musket Ct,
Lackawaxen, PA 18435-7802

Ph: (570) 229-5744		Brian Fazio, QMHA, CADC
811 Musket Ct,
Lackawaxen, PA 18435-7802

Ph: (570) 229-5744

Reviews and Comments


Counselor in Lackawaxen, PA


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