Individual
MRS. KJERSTI H. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
297 INDEPENDENCE BLVD, PEMBROKE SIX, SUITE 126, VIRGINIA BEACH, VA 23462-2911
(757) 437-6088
(757) 473-5161
Mailing address
4638 OLD PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-6453
(757) 467-4646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001854
VA
106H00000X
Marriage & Family Therapist
0717000733
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945395
—
VA
01
—
088058
OPTIMA
VA
Enumeration date
10/25/2006
Last updated
06/30/2008
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