Individual
C KATHERINE DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
120 FOXSHIRE DR, LANCASTER, PA 17601-3982
(717) 431-6615
(717) 618-0498
Mailing address
120 FOXSHIRE DR, LANCASTER, PA 17601-3982
(717) 431-6615
(717) 618-0498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC004069
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018958650004
—
PA
05
—
1022575990002
—
PA
Enumeration date
04/06/2007
Last updated
09/05/2014
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