Organization · Type 2 NPI
Marisa P Distefano LPC LLC
Mental Health Counselor · Ridgewood, NJ
NPI number
1194532861
Active
Practice location
172 Franklin Ave Ste 4B
Ridgewood, NJ 07450-3229
Other practice locations
- 422 Cedar Hill Ave, Wyckoff, NJ 07481-2219 · (201) 446-4669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
3 other providers at this address
Other mental health counselor providers in Ridgewood
About NPI 1194532861
Marisa P Distefano LPC LLC's National Provider Identifier is 1194532861, issued on Dec 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ridgewood, NJ. The record was last updated on Dec 27, 2024.