| Doctor Name: | MR. JIMMIE LEE LESTER |
| NPI Number: | 1003927492 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | AAS, CAC1 |
| License Number: | |
| Business Practice Address: | 1435 N Oakland Blvd Waterford, MI - 483271549 |
| Business Phone Number: | 2484060090 |
| Business Fax Number: | 2486668822 |
| Mailing Address: | 853 Duke, MILFORD |
| State: | MI |
| Postal Code: | 483811105 |
| Phone Number: | 2486852088 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |