Individual
ALEXIS T LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE # 4, RIVERSIDE, CA 92507-2498
(951) 955-8000
Mailing address
2085 RUSTIN AVE # 4, RIVERSIDE, CA 92507-2498
(951) 955-8000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
225400000X
Rehabilitation Practitioner
Primary
MPSS-UWIJHS
CA
Other
Enumeration date
11/06/2023
Last updated
07/10/2025
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