Lake Vest, LPC

NPI 1417764994 · on the registry since 2024 · sole proprietor

Practice

Address: 18697 Forest Rd
Lynchburg, VA 24502
Phone: (434) 239-0003
Organisation at this address: Jon M Winder Lpc, Inc.
The Madeline Centre Incorporated
The Madeline Center...At Home, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-12-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia