Provider Demographics
NPI:1770394199
Name:ASANPAOLA, MOSUN JANET (DBH; LAC: CRC)
Entity type:Individual
Prefix:DR
First Name:MOSUN
Middle Name:JANET
Last Name:ASANPAOLA
Suffix:
Gender:F
Credentials:DBH; LAC: CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 REMSEN AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-1819
Mailing Address - Country:US
Mailing Address - Phone:646-418-8569
Mailing Address - Fax:
Practice Address - Street 1:13000 N 103RD AVE STE 72
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3056
Practice Address - Country:US
Practice Address - Phone:646-418-8569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-22418101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health