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Nicole Marie Destefano
Mental Health Counselor in Worcester, Massachusetts
NPI 1881307668

Nicole Marie Destefano is a Mental Health Counselor based in North Smithfield, MA and is specialized in Mental Health. Nicole Marie Destefano practices in Worcester, MA. The NPI Number for Nicole Marie Destefano is 1881307668 and holds a License No. (Massachusetts).

The current practice location address for Nicole Marie Destefano is 135 Gold Star Blvd, Worcester, MA and can be reached out via phone at 508-459-6400.

Location: 135 Gold Star Blvd, Worcester, MA, 02896-8145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881307668
Provider Name
Nicole Marie Destefano
Credential
Provider Entity Type
Individual
Gender
Female
Address
135 Gold Star Blvd, Worcester, MA, 02896-8145
Phone Number
508-459-6400
Fax Number
Provider Enumeration Date
12/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
135 Gold Star Blvd
City
Worcester
State
Massachusetts
Zip
01606-2738
Phone Number
508-459-6400
Fax Number
person
Provider Business Mailing Address Details
Address
135 Gold Star Blvd
City
Worcester
State
Massachusetts
Zip
01606-2738
Phone Number
508-459-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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