Provider Demographics
NPI:1891342762
Name:HESTER, MARCIE LYN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARCIE
Middle Name:LYN
Last Name:HESTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7728 S STACHNIK RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49664-9703
Mailing Address - Country:US
Mailing Address - Phone:231-883-1141
Mailing Address - Fax:
Practice Address - Street 1:7728 S STACHNIK RD
Practice Address - Street 2:
Practice Address - City:MAPLE CITY
Practice Address - State:MI
Practice Address - Zip Code:49664-9703
Practice Address - Country:US
Practice Address - Phone:231-883-1141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-24
Last Update Date:2019-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health