Provider Demographics
NPI:1780693275
Name:KESNER, MARCIA JANINE (MS LPC, LMHC, NCC)
Entity type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:JANINE
Last Name:KESNER
Suffix:
Gender:F
Credentials:MS LPC, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W 92ND ST APT 11B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7478
Mailing Address - Country:US
Mailing Address - Phone:212-887-0916
Mailing Address - Fax:
Practice Address - Street 1:1817 AVENUE P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1303
Practice Address - Country:US
Practice Address - Phone:718-391-4608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000008101YM0800X
TX13275101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional