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Individual

KEYNA LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC , M.S.

Contact information

Practice address
400 TERRELL HWY, KAUFMAN, TX 75142-1750
(830) 928-9666
Mailing address
400 TERRELL HWY, KAUFMAN, TX 75142-1750
(830) 928-9666

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10613
TX
374U00000X
Home Health Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10613
TEXAS LICENSE LCDC
TX
Enumeration date
04/06/2015
Last updated
09/19/2023
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