Provider Demographics
NPI:1487019956
Name:MARKESTEYN, DEANNA S (LPCC-S)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:S
Last Name:MARKESTEYN
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:S
Other - Last Name:MAPEL MARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:651 S LIMESTONE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505-1965
Mailing Address - Country:US
Mailing Address - Phone:937-324-1111
Mailing Address - Fax:937-525-4542
Practice Address - Street 1:651 S LIMESTONE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505
Practice Address - Country:US
Practice Address - Phone:937-324-1111
Practice Address - Fax:937-328-7257
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2001692-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional