Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael A Defazio, MSSWLICSWCADCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154407419

Mr. Michael A Defazio, MSSWLICSWCADCIII is an Addiction (Substance Use Disorder) Counselor in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3734 7th Ave Ste 24
Kenosha, WI 53140
Phone: (262) 654-0487
Fax: (262) 654-2434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 1165 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 044 (WI)

Record details

NPI number1154407419
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSWLICSWCADCIII
Sole proprietorNo
NPI enumeratedOctober 30, 2006
Last updated in NPPESSeptember 11, 2025

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