person
Mr. James Michael Destefano, MSW,LSW
Mental Health Counselor in Fords, New Jersey
NPI 1104029099

James Michael Destefano is a Mental Health Counselor based in Monroe Township, NJ and is specialized in Mental Health. James Michael Destefano practices in Fords, NJ and has the professional credentials of MSW,LSW. The NPI Number for James Michael Destefano is 1104029099 and holds a License No. 44SL05036200 (New Jersey).

The current practice location address for James Michael Destefano is 720 King George Rd, Fords, NJ and can be reached out via phone at 732-738-4209 and via fax at 732-738-4208. You can also correspond with James Michael Destefano through the mailing address at 4 HARBOR CT, MONROE TOWNSHIP, NJ - 08831-1697 (mailing address contact number: 732-887-1530).

Location: 720 King George Rd, Fords, NJ, 08831-1697
person
Provider Profile Details
NPI Number
1104029099
Provider Name
James Michael Destefano
Credential
MSW,LSW
Provider Entity Type
Individual
Gender
Male
Address
720 King George Rd, Fords, NJ, 08831-1697
Phone Number
732-738-4209
Fax Number
732-738-4208
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 King George Rd
City
State
Zip
08863-1974
Phone Number
732-738-4209
Fax Number
732-738-4208
person
Provider Business Mailing Address Details
Address
720 King George Rd
City
State
Zip
08863-1974
Phone Number
732-738-4209
Fax Number
732-738-4208
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
44SL05036200 (New Jersey)
Definition
Definition to come...
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