Provider Demographics
NPI:1841084563
Name:SUGGS, LESTER (BA PSYCHOLOGY)
Entity type:Individual
Prefix:MR
First Name:LESTER
Middle Name:
Last Name:SUGGS
Suffix:
Gender:M
Credentials:BA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 FARRANDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-5704
Mailing Address - Country:US
Mailing Address - Phone:484-544-2690
Mailing Address - Fax:
Practice Address - Street 1:860 GROVE ST
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3601
Practice Address - Country:US
Practice Address - Phone:973-373-0810
Practice Address - Fax:973-371-1034
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ714101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor