Individual provider · Type 1 NPI
Andresa Lester, CCMA
Health Service Clinic/Center · Douglasville, GA
NPI number
1609566074
Active
Practice location
4902 W Lake Way
Douglasville, GA 30135-4524
Mailing address
3400 Chapel Hill Rd
Douglasville, GA 30135-1739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T0628 (GA) |
Health Service Clinic/Center: Definition to come...
Other health service clinic/center providers in Douglasville
About NPI 1609566074
Andresa Lester, CCMA's National Provider Identifier is 1609566074, issued on May 10, 2023. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Douglasville, GA. The record was last updated on Sep 9, 2025.