Fasig, Kevin

Fasig, Kevin is an individual health care provider with primary practice located at 246 Northland Dr Ste 200A , Medina OH 44256-3440. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Fasig, Kevin can be contacted via phone (330) 725-9195.

Contact Information

Primary practice address
246 Northland Dr Ste 200A Medina OH 44256-3440
Phone: (330) 725-9195
Fax: (330) 725-9187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.161660 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X LE-00019042 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1300003-SUPV Ohio

Profile Details

NPI number 1245588375
LBN Legal business name Fasig, Kevin
Credentials LPCC-S, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2012
Last updated Mar 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245588375 NPPES
Ohio MEDICAID 0181362

Popular Providers