Distefano, Lindsey Autumn

Distefano, Lindsey Autumn is an sole proprietor health care provider with primary practice located at 1000 Monroe Ave Nw , Grand Rapids MI 49503-1455. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Distefano, Lindsey Autumn can be contacted via phone (616) 259-7207.

Contact Information

Primary practice address
1000 Monroe Ave Nw Grand Rapids MI 49503-1455
Phone: (616) 259-7207
Fax: (616) 259-7261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPCC0015902 Colorado
Behavioral Health & Social Service Providers / School 101YS0200X LPCC0015902 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401223229 Michigan

Profile Details

NPI number 1174020291
LBN Legal business name Distefano, Lindsey Autumn
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2018
Last updated Aug 24th, 2023 - about last year

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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