Individual
ANASTASIA FANASELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6707 WHITESTONE RD STE 106, GWYNN OAK, MD 21207-4140
(410) 265-8737
Mailing address
6707 WHITESTONE RD STE 106, GWYNN OAK, MD 21207-4140
(410) 265-8737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP5389
MD
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/27/2014
Last updated
03/17/2018
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