Provider Demographics
NPI:1982773883
Name:LESNESKI, REID DALTON (LCPC, LADC)
Entity Type:Individual
Prefix:
First Name:REID
Middle Name:DALTON
Last Name:LESNESKI
Suffix:
Gender:M
Credentials:LCPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 US ROUTE 1
Mailing Address - Street 2:COTTAGE PLACE, SUITE 204
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1659
Mailing Address - Country:US
Mailing Address - Phone:207-363-8300
Mailing Address - Fax:207-363-8301
Practice Address - Street 1:433 US ROUTE 1
Practice Address - Street 2:COTTAGE PLACE, SUITE 204
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1659
Practice Address - Country:US
Practice Address - Phone:207-363-8300
Practice Address - Fax:207-363-8301
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC3411101YA0400X
MECC3081101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health