Individual provider · Type 1 NPI

Anna Fasano

Mental Health Counselor · Los Angeles, CA

NPI number 1124654785 Active

Practice location

3615 3/4 Bellevue Ave
Los Angeles, CA 90026-7502

Call (732) 404-7963 Map

Other practice locations

  • 2600 SW Holden St, Seattle, WA 98126-3505 · (732) 404-7963

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X61453581 (WA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XLH61453581 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1124654785

Anna Fasano's National Provider Identifier is 1124654785, issued on Mar 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 3, 2023.