Provider Demographics
NPI:1992197594
Name:LESTER, SHALMANESER E (LPC)
Entity Type:Individual
Prefix:MR
First Name:SHALMANESER
Middle Name:E
Last Name:LESTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:SHALMAN
Other - Middle Name:
Other - Last Name:LESTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1800 BLANKENSHIP RD STE 448
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4191
Mailing Address - Country:US
Mailing Address - Phone:971-378-0367
Mailing Address - Fax:503-974-9679
Practice Address - Street 1:1800 BLANKENSHIP RD
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4172
Practice Address - Country:US
Practice Address - Phone:971-378-0367
Practice Address - Fax:503-974-9679
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC6657101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health