Provider Demographics
NPI:1760087167
Name:BERNARD, LESTER PAUL (PHD, LPCC, NCC, CCMH)
Entity Type:Individual
Prefix:DR
First Name:LESTER PAUL
Middle Name:
Last Name:BERNARD
Suffix:
Gender:M
Credentials:PHD, LPCC, NCC, CCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20564 TIMBERLAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-7246
Mailing Address - Country:US
Mailing Address - Phone:434-384-1594
Mailing Address - Fax:
Practice Address - Street 1:40508 MURRIETA HOT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-6403
Practice Address - Country:US
Practice Address - Phone:626-815-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPC1005101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor