Individual
FELICE FASANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
22 GORDON AVE, LAWRENCEVILLE, NJ 08648-1033
(609) 844-0452
(609) 844-0518
Mailing address
PO BOX 6573, LAWRENCEVILLE, NJ 08648-0573
(609) 844-0452
(609) 844-0518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00470200
NJ
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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