C KATHERINE DESTEFANO LPC NPI 1306968649

NPI Information

NPI: 1306968649
Provider Name: C KATHERINE DESTEFANO, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
120 FOXSHIRE DR
LANCASTER, PA
ZIP 17601
Phone: (717) 431-6615
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C Katherine Destefano, LPC is a mental health counselor in Lancaster, PA. C Katherine Destefano, LPC NPI is 1306968649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 FOXSHIRE DR
LANCASTER, PA
ZIP 17601-982
Phone: (717) 431-6615
Fax: (717) 618-0498

The enumeration date for this NPI number is 4/6/2007 and was last updated on 9/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	PC004069	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1018958650004	MEDICAID	PENNSYLVANIA
2	1022575990002	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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