MR. James Michael Destefano, M.S.W. ,L.S.W.
NPI #1104029099 in Fords, New Jersey
Provider Information
- NPI Number
- 1104029099
- Entity Type
- Individual
- Name
- MR. James Michael Destefano, M.S.W. ,L.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.S.W. ,L.S.W.
- Enumeration Date
- Jun 7, 2007
- Last Updated
- Jul 23, 2007
Practice Location
- Address
- 720 KING GEORGE RD
- City
- Fords
- State
- New Jersey
- ZIP Code
- 08863-1974
- Phone
- (732) 738-4209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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