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
Phone: (732) 266-5151
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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