Individual provider · Type 1 NPI
Heather Destefano
Mental Health Counselor · Smithtown, NY
NPI number
1700653474
Active
Practice location
57 Mayflower Ave
Smithtown, NY 11787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1700653474
Heather Destefano's National Provider Identifier is 1700653474, issued on Dec 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Smithtown, NY. The record was last updated on Dec 4, 2023.