Individual provider · Type 1 NPI

Matthew John Distefano, MA, NCC, LPC

Professional Counselor · Uniontown, PA

NPI number 1003083635 Active

Practice location

150 Pittsburgh St
Uniontown, PA 15401-2354

Call (724) 415-9555 Map

Mailing address

94 Antietam Dr
Morgantown, WV 26508-9005

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC005413 (PA)
Professional Counselor 101YP2500X2037 (WV)

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About NPI 1003083635

Matthew John Distefano, MA, NCC, LPC's National Provider Identifier is 1003083635, issued on May 13, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Uniontown, PA. The record was last updated on Apr 20, 2012.