Provider Demographics
NPI:1992855860
Name:LESESNE, BARBARA ANN (CPSS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:LESESNE
Suffix:
Gender:F
Credentials:CPSS
Other - Prefix:
Other - First Name:BOBBIE
Other - Middle Name:ANN
Other - Last Name:LESESNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPSS
Mailing Address - Street 1:3906 THORNWELL CT
Mailing Address - Street 2:APT A
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-4119
Mailing Address - Country:US
Mailing Address - Phone:803-738-8234
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:1800 COLONIAL DR
Practice Address - Street 2:COTTAGE A
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6827
Practice Address - Country:US
Practice Address - Phone:803-898-8133
Practice Address - Fax:803-898-2194
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor