Individual
KRISTEN ELISE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9846 LORI RD STE 201, CHESTERFIELD, VA 23832-6695
(804) 419-4122
Mailing address
PO BOX 5715, MIDLOTHIAN, VA 23112
(804) 379-0400
(804) 414-7736
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008400
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11749422
ANTHEM BLUE CROSS
VA
Enumeration date
04/16/2014
Last updated
10/24/2017
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