| Mr James Michael Destefano, MSW,LSW | |
|
720 King George Rd, Fords, NJ 08863-1974 | |
| (732) 738-4209 | |
| (732) 738-4208 |
| Full Name | Mr James Michael Destefano |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 720 King George Rd, Fords, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104029099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 44SL05036200 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Michael Destefano, MSW,LSW 4 Harbor Ct, Monroe Township, NJ 08831-1697 Ph: (732) 887-1530 | Mr James Michael Destefano, MSW,LSW 720 King George Rd, Fords, NJ 08863-1974 Ph: (732) 738-4209 |
Ashley Harnish, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 786 King George Rd, Fords, NJ 08863 Phone: 732-902-9154 | |
Marianne Gabrael, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 King George Rd Ste 111, Fords, NJ 08863 Phone: 732-771-2300 | |
Dr. Dawn Wirick, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 786 King Georges Road, Fords, NJ 08863 Phone: 732-902-9154 | |
Mrs. Tara Ehmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 786 King George Rd, 2nd Floor, Fords, NJ 08863 Phone: 732-902-9154 Fax: 732-771-9020 | |
Ms. Sharrique Monique Livingston, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 786 King George Rd Ste 1, Fords, NJ 08863 Phone: 732-902-9154 | |
Christina Sorgi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 786 King George Rd, Fords, NJ 08863 Phone: 732-902-9154 |