Doctor Name: | MS. LAUREN MICHELLE CESTARE |
NPI Number: | 1538593710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, NCC |
License Number: | 5270 |
Business Practice Address: | 335 Four Mile Rd Conway, SC - 295264506 |
Business Phone Number: | 8434886560 |
Business Fax Number: | |
Mailing Address: | 1475 Doar Pt, MYRTLE BEACH |
State: | SC |
Postal Code: | 295775847 |
Phone Number: | 8432678967 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2013 |
NPI Last Update Date: | 08/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |