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Individual
LEE THAO
Active
Individual
LEE THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305599
MN
101YM0800X
Mental Health Counselor
11190-125
WI
101YM0800X
Mental Health Counselor
127583
IA
101YM0800X
Mental Health Counselor
Primary
3470
MN
101YP2500X
Professional Counselor
3470
MN
Other
Enumeration date
09/28/2017
Last updated
03/17/2025
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