person
Michael Destefano, CASAC-T,BSW
Addiction (Substance Use Disorder) Counselor in Valley Stream, New York
NPI 1376139485

Michael Destefano is an Addiction (Substance Use Disorder) Counselor based in Massapequa, NY and is specialized in Addiction (Substance Use Disorder). Michael Destefano practices in Valley Stream, NY and has the professional credentials of CASAC-T,BSW. The NPI Number for Michael Destefano is 1376139485 and holds a License No. 35762 (New York).

The current practice location address for Michael Destefano is 50 West Hawthorne Ave 2Nd Floor, Valley Stream, NY and can be reached out via phone at 516-569-6600.

Location: 50 West Hawthorne Ave 2Nd Floor, Valley Stream, NY, 11758
person
Provider Profile Details
NPI Number
1376139485
Provider Name
Michael Destefano
Credential
CASAC-T,BSW
Provider Entity Type
Individual
Gender
Male
Address
50 West Hawthorne Ave 2Nd Floor, Valley Stream, NY, 11758
Phone Number
516-569-6600
Fax Number
Provider Enumeration Date
12/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 West Hawthorne Ave 2Nd Floor
City
State
Zip
11580-1158
Phone Number
516-569-6600
Fax Number
person
Provider Business Mailing Address Details
Address
50 West Hawthorne Ave 2Nd Floor
City
State
Zip
11580-1158
Phone Number
516-569-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
35762 (New York)
Definition
Definition to come...
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