Provider Demographics
NPI:1356799241
Name:LESTER, LISA (LMHC, SUDP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:LESTER
Suffix:
Gender:F
Credentials:LMHC, SUDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12402 N DIVISION ST # 154
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1930
Mailing Address - Country:US
Mailing Address - Phone:509-919-8370
Mailing Address - Fax:
Practice Address - Street 1:17122 N LITTLE SPOKANE DR
Practice Address - Street 2:
Practice Address - City:COLBERT
Practice Address - State:WA
Practice Address - Zip Code:99005-9370
Practice Address - Country:US
Practice Address - Phone:509-919-8370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60656774101YM0800X
WACP 60506433101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)