Individual provider · Type 1 NPI

Anthony Vincent Fasano

Peer Specialist · Southgate, MI

NPI number 1467227447 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 Map

Mailing address

1685 Winchester Ave
Lincoln Park, MI 48146-3844

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1467227447

Anthony Vincent Fasano's National Provider Identifier is 1467227447, issued on Nov 20, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Southgate, MI. The record was last updated on Nov 20, 2023.