Individual
DR. JEAN M. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.MIN.
Contact information
Practice address
1141 E. COOLEY ST.,, STE O, SHOW LOW, AZ 85901
(928) 532-3238
(928) 532-3292
Mailing address
PO BOX 3872, SHOW LOW, AZ 85902
(928) 532-3238
(928) 532-3292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC10187
AZ
101YM0800X
Mental Health Counselor
LPC10443
AZ
101YP2500X
Professional Counselor
LPC-10443
AZ
101YP2500X
Professional Counselor
Primary
LPC10443
AZ
Other
Enumeration date
09/13/2006
Last updated
01/19/2018
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