MR. CHARLES FAZZINO L.P.C. NPI 1124238118

NPI Information

  • NPI: 1124238118
  • Provider Name: MR. CHARLES FAZZINO, L.P.C.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 41 MONTEBELLO RD STE LL1
    PUEBLO, CO
    ZIP 81001
  • Phone: (719) 545-2746

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NPI Details

MR. Charles Fazzino, L.P.C. is a professional counselor in Pueblo, CO. MR. Charles Fazzino, L.P.C. NPI is 1124238118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

41 MONTEBELLO RD STE LL1
PUEBLO, CO
ZIP 81001-379
Phone: (719) 545-2746
Fax: (719) 542-9638

The enumeration date for this NPI number is 5/22/2007 and was last updated on 10/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)ACD.0000024COLORADONo
2101YP2500XCounselorProfessionalLPC.0000092COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126306760MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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