Individual
DONNA DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW. LCADC
Contact information
Practice address
328 DENISON ST, HIGHLAND PARK, NJ 08904-2732
(732) 266-5151
Mailing address
328 DENISON ST, HIGHLAND PARK, NJ 08904-2732
(732) 266-5154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00123500
NJ
1041C0700X
Clinical Social Worker
101276-01
NY
1041C0700X
Clinical Social Worker
Primary
44SC05181100
NJ
Other
Enumeration date
11/02/2006
Last updated
02/11/2026
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