Fasano, Susan Mary
Fasano, Susan Mary is an sole proprietor health care provider with primary practice located at 11344 Coloma Rd Ste 560 , Gold River CA 95670-6304. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fasano, Susan Mary can be contacted via phone (916) 738-1504.Contact Information
Primary practice address
11344 Coloma Rd Ste 560
Gold River CA 95670-6304
Phone: (916) 738-1504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MFC 15256 | California |
Profile Details
| NPI number | 1023175916 |
|---|---|
| LBN Legal business name | Fasano, Susan Mary |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Apr 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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