Most Relevant Information
Provider Data
| NPI Number: | 1003406422 |
| Provider Name: | CYNTHIA M FAZEKAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/20/2021 |
| Last Updated: | 01/20/2021 |
Provider Practice Location
441 N MAIN ST
SUMTER
SC
291504232
Practice Location Phone/Fax
| Phone: | 8037755080 |
| Fax: | 8037736256 |
Provider Mailing Location
441 N MAIN ST
SUMTER
SC
291504232
Provider Mailing Phone/Fax
| Phone: | 8037755080 |
| Fax: | 8037736256 |