Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISA DISTEFANO, LPC
Active Sole ProprietorMARISA DISTEFANO, LPC is a Mental Health Counselor healthcare provider located in RIDGEWOOD, New Jersey. NPI 1720546260 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · RIDGEWOOD, NJ
Registration Details
- NPI Number
- 1720546260
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2019 (7.4252879661735 yrs)
- Last Updated
- Dec 27, 2024
- License
-
37PC00661500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
172 FRANKLIN AVE STE 4BRIDGEWOOD, NJ, 074503229Browse NJ providers · Browse ZIP 07450
- Phone
- 2014464669
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in RIDGEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| MADELINE ENGEL | — | 1124125257 |
| MS. FRANCES LEANORA PICONE | LPC LCADC | 1780761361 |
| MS. EVE THALER | LPC | 1851478432 |
| MS. PAMELA JANE BRODIE | PHD, LPC | 1609945054 |
| MS. VICTORIA R KACZKOWSKI | LPC LCADC | 1437221157 |
| MRS. MARY WEBSTER | LCSW | 1033325048 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.