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Individual
VIVIAN LEE
Active
Individual
VIVIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
15208
TX
101YP2500X
Professional Counselor
Primary
85030
TX
Other
Enumeration date
09/25/2019
Last updated
09/24/2021
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