Anastasia Fanaselle

NPI #1619385200 in Gwynn Oak, Maryland

Provider Information

NPI Number: 1619385200
Entity Type: Individual
Name: Anastasia Fanaselle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 27, 2014
Last Updated: Mar 17, 2018

Practice Location

Address: 6707 WHITESTONE RD STE 106
City: Gwynn Oak
State: Maryland
ZIP Code: 21207-4140
Phone: (410) 265-8737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor	101Y00000X	Primary

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