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

Nicholas Daniel Defazio, LPCC-S, LICDC

Individual provider Mental Health Counselor · NPI 1578170403

Nicholas Daniel Defazio, LPCC-S, LICDC is a Mental Health Counselor in Dayton, Ohio. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1951 S Gettysburg Ave
Dayton, OH 45417-4160
Phone: (937) 496-7302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1578170403
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC-S , LICDC
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 23, 2020

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