Individual provider · Type 1 NPI
James Michael Destefano, LCSW
Mental Health Counselor · Fords, NJ
NPI number
1104029099
Active
Practice location
720 King George Rd
Fords, NJ 08863-1974
Fax (732) 738-4208
Mailing address
4 Harbor Ct
Monroe Township, NJ 08831-1697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 44SC05436000 (NJ) |
Mental Health Counselor: Definition to come...
3 other providers at this address
Other mental health counselor providers in Fords
About NPI 1104029099
James Michael Destefano, LCSW's National Provider Identifier is 1104029099, issued on Jun 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fords, NJ. The record was last updated on Jun 8, 2026.