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

Mrs. Kathryn Ann Fazzalare, LPC

Individual provider Professional Counselor · NPI 1770463549

Mrs. Kathryn Ann Fazzalare, LPC is a Professional Counselor in Mount Clemens, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

43565 Elizabeth St
Mount Clemens, MI 48043-1001
Phone: (586) 307-9464
Fax: (586) 307-9305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (MI)

Record details

NPI number1770463549
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 3, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 3, 2025

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