Individual
JESSAMYNE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 TREMONT ST, APT B417, PHILA, PA 19115-5041
(267) 721-0902
Mailing address
2201 TREMONT ST, APT B417, PHILA, PA 19115-5041
(267) 721-0902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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