Basic Information
| Provider Information | |||||||||
| NPI: | 1821489089 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KESTER COUNSELING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4990 NORTHWIND DR | ||||||||
| Address2: | STE 125 | ||||||||
| City: | EAST LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488235090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5174832461 | ||||||||
| FaxNumber: | 5173239531 | ||||||||
| Practice Location | |||||||||
| Address1: | 4990 NORTHWIND DR | ||||||||
| Address2: | STE 125 | ||||||||
| City: | EAST LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488235090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5174832461 | ||||||||
| FaxNumber: | 5173239531 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2015 | ||||||||
| LastUpdateDate: | 02/10/2015 | ||||||||
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| AuthorizedOfficialLastName: | KESTER | ||||||||
| AuthorizedOfficialFirstName: | JANET | ||||||||
| AuthorizedOfficialMiddleName: | G | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5174832461 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 6801089268 | MI | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.