Individual
ELLISA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6878
OK
101YM0800X
Mental Health Counselor
8248
OK
1041C0700X
Clinical Social Worker
Primary
8248
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200817140A
—
OK
Enumeration date
01/17/2019
Last updated
06/22/2026
Update your record
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