person
Jennifer Dian Distefano, LMHC
Mental Health Counselor in Vancouver, Washington
NPI 1790011856

Jennifer Dian Distefano is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Jennifer Dian Distefano practices in Vancouver, WA and has the professional credentials of LMHC. The NPI Number for Jennifer Dian Distefano is 1790011856 and holds a License No. (Washington).

The current practice location address for Jennifer Dian Distefano is Po Box 822441, Vancouver, WA and can be reached out via phone at 360-612-2396 and via fax at 360-450-4426.

Location: Po Box 822441, Vancouver, WA, 98682-0053
person
Provider Profile Details
NPI Number
1790011856
Provider Name
Jennifer Dian Distefano
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
Po Box 822441, Vancouver, WA, 98682-0053
Phone Number
360-612-2396
Fax Number
360-450-4426
Provider Enumeration Date
10/26/2009
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
Po Box 822441
City
State
Zip
98682-0053
Phone Number
360-612-2396
Fax Number
360-450-4426
person
Provider Business Mailing Address Details
Address
Po Box 822441
City
State
Zip
98682-0053
Phone Number
360-612-2396
Fax Number
360-450-4426
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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