Individual provider · Type 1 NPI

Anastasia Fanaselle

Counselor · Gwynn Oak, MD

NPI number 1619385200 Active

Practice location

6707 Whitestone Rd Ste 106
Gwynn Oak, MD 21207-4140

Other practice locations

  • 4901 Bready Rd, Rockville, MD 20853-1006 · (240) 899-3156

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Counselor Primary 101Y00000XLGP5389 (MD)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1619385200

Anastasia Fanaselle's National Provider Identifier is 1619385200, issued on Jul 27, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gwynn Oak, MD. The record was last updated on Mar 17, 2018.