Organization
AMANDA DESTEFANO PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA DESTEFANO LICSW (OWNER AND PSYCHOTHERAPIST)
(617) 680-5724
Entity
Organization
Contact information
Practice address
73 TRAPELO RD STE 5, BELMONT, MA 02478-4463
(617) 680-5724
Mailing address
42 CREELEY RD, BELMONT, MA 02478-2213
(617) 680-5724
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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