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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN MARY FASANO, MFT

Active Sole Proprietor

SUSAN MARY FASANO, MFT is a Mental Health Counselor healthcare provider located in GOLD RIVER, California. NPI 1023175916 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · GOLD RIVER, CA

Registration Details

NPI Number
1023175916
Provider Type
Individual
Gender
Female
NPI Issued
Jan 2, 2007 (19.429885254745 yrs)
Last Updated
Apr 4, 2022
License
MFC 15256 (CA)
Sole Proprietor
Yes

Practice Information

Address
11344 COLOMA RD STE 560
GOLD RIVER, CA, 956706304
Browse CA providers · Browse ZIP 95670
Phone
9167381504
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in GOLD RIVER, CA

Name Credential NPI
MS. KATHRYN J. CANN LCSW 1457448466
MR. NICHOLAS F. O'MADDEN 1144582891
TANYA GRUBAUGH LCSW 1942676655
JOANNA KWAN MA, LPCC, NCC 1114375656
MARGRETTE ELAINE TOWNSEND PSB94023890 1801331822
PAMELA Y WARD APCC 1689454480
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.