Provider Demographics
NPI:1477043081
Name:WESTON, ESTHER KAYLENA (LPC, MA)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:KAYLENA
Last Name:WESTON
Suffix:
Gender:F
Credentials:LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 COOPERS WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-9609
Mailing Address - Country:US
Mailing Address - Phone:717-951-6081
Mailing Address - Fax:
Practice Address - Street 1:45 COOPERS WAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:PA
Practice Address - Zip Code:17517-9609
Practice Address - Country:US
Practice Address - Phone:717-951-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009840101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC009840OtherPROFESSIONAL COUNSELOR