Marisa P Distefano Lpc LLC
NPI #1194532861 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1194532861
- Entity Type
- Organization
- Organization Name
- Marisa P Distefano Lpc LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 16, 2024
- Last Updated
- Dec 27, 2024
Practice Location
- Address
- 172 FRANKLIN AVE STE 4B
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-3229
- Phone
- (201) 446-4669
Authorized Official
- Name
- MS. MARISA DISTEFANO, LPC
- Title
- OWNER
- Phone
- (201) 446-4669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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