Individual
MR. JAMES MICHAEL DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W. ,L.S.W.
Contact information
Practice address
720 KING GEORGE RD, FORDS, NJ 08863-1974
(732) 738-4209
(732) 738-4208
Mailing address
4 HARBOR CT, MONROE TOWNSHIP, NJ 08831-1697
(732) 887-1530
(732) 738-4208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SL05036200
NJ
Other
Enumeration date
06/07/2007
Last updated
07/23/2007
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