Individual provider · Type 1 NPI

Douglas P. Distefano, LPC

Mental Health Counselor · Phoenix, AZ

NPI number 1558072454 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Call (602) 933-0414 Map

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-7761

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-21266 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1558072454

Douglas P. Distefano, LPC's National Provider Identifier is 1558072454, issued on Dec 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 28, 2023.