Individual provider · Type 1 NPI
Peter Destefano, THERAPIST
Addiction (Substance Use Disorder) Counselor · Southampton, NJ
NPI number
1033089446
Active
Practice location
13 Heather Pl
Southampton, NJ 08088-1115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00377900 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1033089446
Peter Destefano, THERAPIST's National Provider Identifier is 1033089446, issued on Nov 10, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Southampton, NJ. The record was last updated on Nov 10, 2025.