Individual provider · Type 1 NPI

Lindsey Autumn Distefano, MA

Professional Counselor · Grand Rapids, MI

NPI number 1174020291 Active

Practice location

1000 Monroe Ave NW
Grand Rapids, MI 49503-1455

Call (616) 259-7207 Map

Fax (616) 259-7261

Other practice locations

  • 12835 E Arapahoe Rd Ste 400, Centennial, CO 80112-3940 · (303) 954-9809

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLPCC0015902 (CO)
School Counselor 101YS0200XLPCC0015902 (CO)
Professional Counselor Primary 101YP2500X6401223229 (MI)

Professional Counselor: Definition to come...

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About NPI 1174020291

Lindsey Autumn Distefano, MA's National Provider Identifier is 1174020291, issued on Apr 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 24, 2023.