Distefano, Katherine

Distefano, Katherine is an individual health care provider with primary practice located at 13500 Se 7Th St , Vancouver WA 98683-6909. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Distefano, Katherine can be contacted via phone (360) 699-2244.

Contact Information

Primary practice address
13500 Se 7Th St Vancouver WA 98683-6909
Phone: (360) 699-2244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 11090 Oregon
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1891852224
LBN Legal business name Distefano, Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated May 21st, 2024 - about 7 months 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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