Katherine Distefano IV
Katherine Distefano IV is a Mental Health Counselor in Vancouver, Washington. Licensed in Oregon. Registered with an NPI since 2007.
- Licensed in
- OR
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
13500 SE 7th StVancouver, WA 98683-6909
Phone: (360) 699-2244
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Massage Therapist | Taxonomy 225700000X · Licence 11090 (OR) |
Record details
| NPI number | 1891852224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 3, 2007 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
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