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Anna Fasano
Mental Health Counselor in Los Angeles, California
NPI 1124654785

Anna Fasano is a Mental Health Counselor based in Los Angeles, CA and is specialized in Mental Health. Anna Fasano practices in Los Angeles, CA. The NPI Number for Anna Fasano is 1124654785 and holds a License No. 61453581 (California).

The current practice location address for Anna Fasano is 3615 3/4 Bellevue Ave, Los Angeles, CA and can be reached out via phone at 732-404-7963.

Location: 3615 3/4 Bellevue Ave, Los Angeles, CA, 90026-7502
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Provider Profile Details
NPI Number
1124654785
Provider Name
Anna Fasano
Credential
Provider Entity Type
Individual
Gender
Female
Address
3615 3/4 Bellevue Ave, Los Angeles, CA, 90026-7502
Phone Number
732-404-7963
Fax Number
Provider Enumeration Date
03/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3615 3/4 Bellevue Ave
City
State
Zip
90026-7502
Phone Number
732-404-7963
Fax Number
person
Provider Business Mailing Address Details
Address
3615 3/4 Bellevue Ave
City
State
Zip
90026-7502
Phone Number
732-404-7963
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
61453581 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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