Provider Demographics
NPI:1932227733
Name:TESBIR, LORENA JEAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:LORENA
Middle Name:JEAN
Last Name:TESBIR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FOX HOLLOW ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-2633
Mailing Address - Country:US
Mailing Address - Phone:203-746-2262
Mailing Address - Fax:203-731-2566
Practice Address - Street 1:2 GLEN HILL ROAD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811
Practice Address - Country:US
Practice Address - Phone:203-743-5493
Practice Address - Fax:203-731-2566
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001228101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional