Individual provider · Type 1 NPI
Karen A. Daigle Destefano, LADC, LPC
Addiction (Substance Use Disorder) Counselor · Southington, CT
NPI number
1679710164
Active
Practice location
132 Main St Ste 2A
Southington, CT 06489-2561
Fax (203) 718-6002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Professional Counselor | 101YP2500X | 3168 (CT) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 782 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1679710164
Karen A. Daigle Destefano, LADC, LPC's National Provider Identifier is 1679710164, issued on Jan 21, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Southington, CT. The record was last updated on Mar 1, 2026.