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Individual
MR. JOHN WALTER LEE IV
Active
Individual
MR. JOHN WALTER LEE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-22-2191
OR
101YM0800X
Mental Health Counselor
Primary
R8780
OR
Other
Enumeration date
12/20/2022
Last updated
05/01/2024
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