Distefano, Donna

Distefano, Donna is an sole proprietor health care provider with primary practice located at 320 Raritan Ave Suite 307 A, Highland Park NJ 08904-2752. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Distefano, Donna can be contacted via phone (732) 266-5151.

Contact Information

Primary practice address
320 Raritan Ave Suite 307 A Highland Park NJ 08904-2752
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00123500 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05181100 New Jersey

Profile Details

NPI number 1760560049
LBN Legal business name Distefano, Donna
Credentials LCSW. LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Sep 25th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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