person
Marisa Distefano, LPC
Mental Health Counselor in Ridgewood, New Jersey
NPI 1720546260

Marisa Distefano is a Mental Health Counselor based in Kinnelon, NJ and is specialized in Mental Health. Marisa Distefano practices in Ridgewood, NJ and has the professional credentials of LPC. The NPI Number for Marisa Distefano is 1720546260 and holds a License No. 37PC00661500 (New Jersey).

The current practice location address for Marisa Distefano is 172 Franklin Ave Ste 4B, Ridgewood, NJ and can be reached out via phone at 201-446-4669.

Location: 172 Franklin Ave Ste 4B, Ridgewood, NJ, 07405-2911
person
Provider Profile Details
NPI Number
1720546260
Provider Name
Marisa Distefano
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
172 Franklin Ave Ste 4B, Ridgewood, NJ, 07405-2911
Phone Number
201-446-4669
Fax Number
Provider Enumeration Date
03/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
172 Franklin Ave Ste 4B
City
State
Zip
07450-3229
Phone Number
201-446-4669
Fax Number
person
Provider Business Mailing Address Details
Address
172 Franklin Ave Ste 4B
City
State
Zip
07450-3229
Phone Number
201-446-4669
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37PC00661500 (New Jersey)
Definition
Definition to come...
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