SUSAN MARY FASANO

GOLD RIVER, CA
NPI1023175916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  MFC 15256)
Enumeration Date2007-01-02
Last Update Date2022-04-04
Business Address
SUSAN MARY FASANO MFT
11344 COLOMA RD STE 560
GOLD RIVER, CA 95670-6304
Phone number: 916-738-1504
Mailing Address
SUSAN MARY FASANO MFT
11344 COLOMA RD STE 560
GOLD RIVER, CA 95670-6304
Phone number: 916-661-8567
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