Provider Demographics
NPI:1053656066
Name:LESTER, DIANE EILEEN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:EILEEN
Last Name:LESTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 N THOMPSON LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4351
Mailing Address - Country:US
Mailing Address - Phone:615-848-5860
Mailing Address - Fax:615-848-5889
Practice Address - Street 1:1009 N THOMPSON LN
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4351
Practice Address - Country:US
Practice Address - Phone:615-848-5860
Practice Address - Fax:615-848-5889
Is Sole Proprietor?:No
Enumeration Date:2012-12-02
Last Update Date:2012-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000685106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist