Provider Demographics
NPI:1265526123
Name:LESTER, DONALD ROBERT II
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ROBERT
Last Name:LESTER
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E 2ND ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-4113
Mailing Address - Country:US
Mailing Address - Phone:270-689-3884
Mailing Address - Fax:
Practice Address - Street 1:101 E 2ND ST
Practice Address - Street 2:SUITE 105
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-4113
Practice Address - Country:US
Practice Address - Phone:270-689-3884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY832101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health