Lisa Josephine Destefano, MA
NPI #1154993004 in Bennettsville, South Carolina
Provider Information
- NPI Number
- 1154993004
- Entity Type
- Individual
- Name
- Lisa Josephine Destefano, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Jul 12, 2021
- Last Updated
- Jul 12, 2021
Practice Location
- Address
- 1035 CHERAW ST
- City
- Bennettsville
- State
- South Carolina
- ZIP Code
- 29512-2422
- Phone
- (843) 454-0841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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