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1558072454
DOUGLAS P DISTEFANO
PHOENIX, AZ
NPI
1558072454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-21266)
Enumeration Date
2022-12-12
Last Update Date
2023-08-28
Business Address
DOUGLAS P DISTEFANO LPC
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0414
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Mailing Address
DOUGLAS P DISTEFANO LPC
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-7761
Phone number: 602-933-1813
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