Individual
BRANDEE DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
617 S GREEN ST, SUITE 300, MORGANTON, NC 28655
(828) 437-3000
(828) 437-4999
Mailing address
PO BOX 1536, MORGANTON, NC 28680-1536
(828) 437-3000
(828) 437-4999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A12052
NC
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A12052
LICENSE
NC
Enumeration date
03/10/2016
Last updated
08/23/2018
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