Individual provider · Type 1 NPI
Josephine Distafano
Addiction (Substance Use Disorder) Counselor · Lake Worth, FL
NPI number
1922870138
Active
Practice location
4905 Lantana Rd
Lake Worth, FL 33463-6915
Mailing address
18099 92nd Ln N
Loxahatchee, FL 33470-5140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922870138
Josephine Distafano's National Provider Identifier is 1922870138, issued on Oct 23, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Worth, FL. The record was last updated on Oct 23, 2023.