NICOLE MARIE DESTEFANO NPI 1881307668

NPI Information

NPI: 1881307668
Provider Name: NICOLE MARIE DESTEFANO
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
135 GOLD STAR BLVD
WORCESTER, MA
ZIP 01606
Phone: (508) 459-6400
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Nicole Marie Destefano is a mental health counselor in Worcester, MA. Nicole Marie Destefano NPI is 1881307668. 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:

135 GOLD STAR BLVD
WORCESTER, MA
ZIP 01606-738
Phone: (508) 459-6400

The enumeration date for this NPI number is 12/27/2022 and was last updated on 12/27/2022.

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	101Y00000X	Counselor				No
2	101YM0800X	Counselor	Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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