Provider Demographics
NPI:1932160850
Name:HESTER, J MICHAEL (PHD)
Entity Type:Individual
Prefix:
First Name:J
Middle Name:MICHAEL
Last Name:HESTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2330
Mailing Address - Country:US
Mailing Address - Phone:828-258-2112
Mailing Address - Fax:828-258-3831
Practice Address - Street 1:191 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2330
Practice Address - Country:US
Practice Address - Phone:828-258-2112
Practice Address - Fax:828-258-3831
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0028101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC130372OtherVALUE OPTIONS
NC42021OtherBCBSNC
NCC4263OtherMEDCOST PREFERRED
NC17457OtherCIGNA BEHAVIORAL