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Susan Mary Fasano, MFT
Mental Health Counselor in Gold River, California
NPI 1023175916

Susan Mary Fasano is a Mental Health Counselor based in Gold River, CA and is specialized in Mental Health. Susan Mary Fasano practices in Gold River, CA and has the professional credentials of MFT. The NPI Number for Susan Mary Fasano is 1023175916 and holds a License No. MFC 15256 (California).

The current practice location address for Susan Mary Fasano is 11344 Coloma Rd Ste 560, Gold River, CA and can be reached out via phone at 916-738-1504.

Location: 11344 Coloma Rd Ste 560, Gold River, CA, 95670-6304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023175916
Provider Name
Susan Mary Fasano
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
11344 Coloma Rd Ste 560, Gold River, CA, 95670-6304
Phone Number
916-738-1504
Fax Number
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11344 Coloma Rd Ste 560
City
Gold River
State
California
Zip
95670-6304
Phone Number
916-738-1504
Fax Number
person
Provider Business Mailing Address Details
Address
11344 Coloma Rd Ste 560
City
Gold River
State
California
Zip
95670-6304
Phone Number
916-738-1504
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MFC 15256 (California)
Definition
Definition to come...
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