person
Douglas P Distefano, LPC
Mental Health Counselor in Phoenix, Arizona
NPI 1558072454

Douglas P Distefano is a Mental Health Counselor based in Phoenix, AZ and is specialized in Mental Health. Douglas P Distefano practices in Phoenix, AZ and has the professional credentials of LPC. The NPI Number for Douglas P Distefano is 1558072454 and holds a License No. LPC-21266 (Arizona).

The current practice location address for Douglas P Distefano is 1919 E Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-933-0414.

Location: 1919 E Thomas Rd, Phoenix, AZ, 85016-7761
person
Provider Profile Details
NPI Number
1558072454
Provider Name
Douglas P Distefano
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1919 E Thomas Rd, Phoenix, AZ, 85016-7761
Phone Number
602-933-0414
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-933-0414
Fax Number
person
Provider Business Mailing Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-933-0414
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-21266 (Arizona)
Definition
Definition to come...
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