Search › Michigan › 101YP2500X
Kathryn Fazzalare, LPC
NPI 1770463549 · on the registry since 2025
Practice
- Address
- 43565 Elizabeth St
Mount Clemens, MI 48043 - Phone
- (586) 307-9464
- Fax
- (586) 307-9305
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan