| Doctor Name: | MR. LESTER ISAAC BLOOMENSTIEL |
| NPI Number: | 1639320625 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., L.P.C. |
| License Number: | 61331 |
| Business Practice Address: | 7454 Fm 121 Van Alstyne, TX - 754950776 |
| Business Phone Number: | 9034825128 |
| Business Fax Number: | 9034825128 |
| Mailing Address: | Po Box 776, VAN ALSTYNE |
| State: | TX |
| Postal Code: | 754950776 |
| Phone Number: | 9034825128 |
| Fax Number: | 9034825128 |
| NPI Enumeration Date: | 10/08/2008 |
| NPI Last Update Date: | 10/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 61331 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |