MR. JAMES MICHAEL DESTEFANO M.S.W. L.S.W. NPI 1104029099

NPI Information

NPI: 1104029099
Provider Name: MR. JAMES MICHAEL DESTEFANO, M.S.W. ,L.S.W.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
720 KING GEORGE RD
FORDS, NJ
ZIP 08863
Phone: (732) 738-4209
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MR. James Michael Destefano, M.S.W. ,L.S.W. is a mental health counselor in Fords, NJ. MR. James Michael Destefano, M.S.W. ,L.S.W. NPI is 1104029099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 KING GEORGE RD
FORDS, NJ
ZIP 08863-974
Phone: (732) 738-4209
Fax: (732) 738-4208

The enumeration date for this NPI number is 6/7/2007 and was last updated on 7/23/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	44SL05036200	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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