Individual provider · Type 1 NPI

Gerard Distefano

Counselor · Charlestown, MA

NPI number 1144646795 Active

Practice location

529 Main St Ste 100
Charlestown, MA 02129-1119

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144646795

Gerard Distefano's National Provider Identifier is 1144646795, issued on Mar 6, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charlestown, MA. The record was last updated on Mar 6, 2014.