Individual provider · Type 1 NPI

Michael Destefano, CASAC-T, BSW

Addiction (Substance Use Disorder) Counselor · Valley Stream, NY

NPI number 1376139485 Active

Practice location

50 West Hawthorne Ave 2nd Floor
Valley Stream, NY 11580-1158

Call (516) 569-6600 Map

Mailing address

246 N Richmond Ave
Massapequa, NY 11758

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X35762 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376139485

Michael Destefano, CASAC-T, BSW's National Provider Identifier is 1376139485, issued on Dec 14, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Valley Stream, NY. The record was last updated on Dec 14, 2020.