Anthony Vincent Fasano - Southgate, MI

Anthony Vincent Fasano

Peer Specialist in Southgate, Michigan

NPI 1467227447

Anthony Vincent Fasano is a Peer Specialist based in Lincoln Park, MI. Anthony Vincent Fasano practices in Southgate, MI. The NPI Number for Anthony Vincent Fasano is 1467227447 and holds a License No. (Michigan).

The current practice location address for Anthony Vincent Fasano is 13101 Allen Rd, Southgate, MI and can be reached out via phone at 734-785-7700.

Location: 13101 Allen Rd, Southgate, MI, 48146-3844

NPI Number

1467227447

Provider Name

Anthony Vincent Fasano

Credential

Provider Entity Type

Individual

Gender

Male

Address

13101 Allen Rd, Southgate, MI, 48146-3844

Phone Number

734-785-7700

Fax Number

Provider Enumeration Date

11/20/2023

Last Update Date

03/10/2024

Address

13101 Allen Rd

City

Southgate

State

Michigan

Zip

48195-2216

Phone Number

734-785-7700

Fax Number

Address

13101 Allen Rd

City

Southgate

State

Michigan

Zip

48195-2216

Phone Number

734-785-7700

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

(Michigan)

Definition

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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NPI 1215222609

Peer Specialist

13101 Allen Rd,
SOUTHGATE, MI
48195-2216

734-785-7700