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Individual

NICHOLAS JOSEPH FASANELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1 PERIMETER PARK S STE 100N, BIRMINGHAM, AL 35243-3248
(205) 936-2356
Mailing address
1 PERIMETER PARK S STE 100N, BIRMINGHAM, AL 35243-3248
(205) 936-2356

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3189A
AL

Other

Enumeration date
07/26/2021
Last updated
07/26/2021
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