Individual
KATHLEEN ANNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
411 KAILA CT, SHAMONG, NJ 08088-9688
(609) 401-2012
(609) 232-7271
Mailing address
411 KAILA CT, SHAMONG, NJ 08088-9688
(609) 401-2012
(609) 232-7271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00207100
NJ
101YP2500X
Professional Counselor
Primary
37PC00440600
NJ
Other
Enumeration date
11/27/2013
Last updated
03/31/2022
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