Individual
CHOUA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
(559) 498-0507
Mailing address
4732 E GARLAND AVE, FRESNO, CA 93726-6412
(559) 266-9581
(559) 498-0507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669559878
ART NPI NUMBER
CA
Enumeration date
03/22/2007
Last updated
07/08/2007
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