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Individual

ANDRESA LESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCMA

Contact information

Practice address
4902 W LAKE WAY, DOUGLASVILLE, GA 30135-4524
(678) 861-7989
Mailing address
3400 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1739
(678) 861-7989

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T0628
GA
251E00000X
Home Health Agency
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
05/10/2023
Last updated
09/09/2025
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