Provider Demographics
NPI:1669967600
Name:LESTER, JOAN COST (PSYD, LPC)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:COST
Last Name:LESTER
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:MISS
Other - First Name:JOAN
Other - Middle Name:ANNE
Other - Last Name:COST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN
Mailing Address - Street 1:214 JONES HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:CT
Mailing Address - Zip Code:06447-1161
Mailing Address - Country:US
Mailing Address - Phone:860-295-9565
Mailing Address - Fax:
Practice Address - Street 1:214 JONES HOLLOW RD
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:CT
Practice Address - Zip Code:06447-1161
Practice Address - Country:US
Practice Address - Phone:860-295-9565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003280101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional