Individual
BARBARA SHARON FASULO-EMMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CCS-M
Contact information
Practice address
1105 SIXTH STREET, MUNSON BEHAVIORAL HEALTH SERVICES, TRAVERSE CITY, MI 49684
(231) 935-6390
Mailing address
2677 CHAPERON DR, TRAVERSE CITY, MI 49696-8565
(231) 929-1968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401001913
MI
Other
Enumeration date
09/11/2007
Last updated
12/02/2013
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