Provider Demographics
NPI:1366131740
Name:LESTER, LAKISHA S (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LAKISHA
Middle Name:S
Last Name:LESTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:LAKISHA
Other - Middle Name:S
Other - Last Name:BRACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10035 CASA NUEVA ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-3103
Mailing Address - Country:US
Mailing Address - Phone:619-771-8881
Mailing Address - Fax:
Practice Address - Street 1:10035 CASA NUEVA ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-3103
Practice Address - Country:US
Practice Address - Phone:619-771-8881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA139282106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist