Provider Demographics
NPI:1962809293
Name:LESTER, THOMAS ROY II (LPC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ROY
Last Name:LESTER
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:R
Other - Last Name:LESTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1010 4TH ST W
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3051
Mailing Address - Country:US
Mailing Address - Phone:304-412-4786
Mailing Address - Fax:304-736-4835
Practice Address - Street 1:2 BONNIE BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-3066
Practice Address - Country:US
Practice Address - Phone:304-733-0036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional