Individual
BERNICE L LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-R
Contact information
Practice address
100 BRUNSWICK AVE # A, EMPORIA, VA 23847-2010
(434) 336-1103
(434) 336-1105
Mailing address
PO BOX 1364, ROANOKE RAPIDS, NC 27870-1364
(252) 287-7870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704007276
VA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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