Most Relevant Information
Provider Data
| NPI Number: | 1003001330 |
| Provider Name: | BESS LYONS CERESA M.S., L.M.F.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 1264 |
Most Important Dates
| Enumeration Date: | 09/10/2007 |
| Last Updated: | 05/05/2015 |
Provider Practice Location
18809 W CATAWBA AVE
SUITE 202
CORNELIUS
NC
280315547
Practice Location Phone/Fax
| Phone: | 7046076592 |
| Fax: |
Provider Mailing Location
18809 W CATAWBA AVE
SUITE 202
CORNELIUS
NC
280315547
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |