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Lindsey Autumn Distefano, MA
Professional Counselor in Grand Rapids, Michigan
NPI 1174020291

Lindsey Autumn Distefano is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Lindsey Autumn Distefano practices in Grand Rapids, MI and has the professional credentials of MA. The NPI Number for Lindsey Autumn Distefano is 1174020291 and holds a License No. LPCC0015902 (Michigan).

The current practice location address for Lindsey Autumn Distefano is 1000 Monroe Ave Nw, Grand Rapids, MI and can be reached out via phone at 616-259-7207 and via fax at 616-259-7261.

Location: 1000 Monroe Ave Nw, Grand Rapids, MI, 49503-1455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174020291
Provider Name
Lindsey Autumn Distefano
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1000 Monroe Ave Nw, Grand Rapids, MI, 49503-1455
Phone Number
616-259-7207
Fax Number
616-259-7261
Provider Enumeration Date
04/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Monroe Ave Nw
City
Grand Rapids
State
Michigan
Zip
49503-1455
Phone Number
616-259-7207
Fax Number
616-259-7261
person
Provider Business Mailing Address Details
Address
1000 Monroe Ave Nw
City
Grand Rapids
State
Michigan
Zip
49503-1455
Phone Number
616-259-7207
Fax Number
616-259-7261
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6401223229 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPCC0015902 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
LPCC0015902 (Colorado)
Definition
Definition to come...
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