| Doctor Name: | PETER FASHHO |
| NPI Number: | 1205265451 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., L.L.P.C |
| License Number: | 6401013571 |
| Business Practice Address: | 9329 Telegraph Rd Redford, MI - 482391260 |
| Business Phone Number: | 3139379500 |
| Business Fax Number: | |
| Mailing Address: | 9329 Telegraph Rd, REDFORD |
| State: | MI |
| Postal Code: | 482391260 |
| Phone Number: | 3139379500 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2013 |
| NPI Last Update Date: | 11/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401013571 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |