Individual provider · Type 1 NPI

Emily Fasolino, CASAC-T

Addiction (Substance Use Disorder) Counselor · Brentwood, NY

NPI number 1235005398 Active

Practice location

452 Suffolk Ave
Brentwood, NY 11717-4214

Call (631) 436-6065 Map

Mailing address

363 Bay Ave Apt 4
Patchogue, NY 11772-4055

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X40972 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235005398

Emily Fasolino, CASAC-T's National Provider Identifier is 1235005398, issued on Oct 15, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brentwood, NY. The record was last updated on Oct 15, 2025.