Provider Demographics
NPI:1811976376
Name:LESTER, HAROLD MARK (LPC)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:MARK
Last Name:LESTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 RIDGE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BIG STONE GAP
Mailing Address - State:VA
Mailing Address - Zip Code:24219-3365
Mailing Address - Country:US
Mailing Address - Phone:276-523-5719
Mailing Address - Fax:
Practice Address - Street 1:2020 RIDGE VIEW DR
Practice Address - Street 2:
Practice Address - City:BIG STONE GAP
Practice Address - State:VA
Practice Address - Zip Code:24219-3365
Practice Address - Country:US
Practice Address - Phone:276-523-5719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002968101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional