Individual provider · Type 1 NPI

Kristen Destefanis, MA

Addiction (Substance Use Disorder) Counselor · Memphis, TN

NPI number 1477004703 Active

Practice location

2165 Spicer Cv, Suite 5
Memphis, TN 38134-5623

Fax (901) 373-9298

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1477004703

Kristen Destefanis, MA's National Provider Identifier is 1477004703, issued on Oct 21, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Memphis, TN. The record was last updated on Oct 21, 2016.