NPI 1003083635

Matthew John Distefano, MANCCLPC

Practitioner Professional Counselor Uniontown, PA

Practice location

Address: 150 Pittsburgh St, Uniontown, PA 15401-2354
Phone: (724) 415-9555
Mailing address: 94 Antietam Dr, Morgantown, WV 26508-9005

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence PC005413 (PA)

Other Counselor providers in Pennsylvania →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2037 (WV)

Registry record

NPI: 1003083635
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2008
Record last updated: 20 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.