Individual
DINEYTRA RENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-3233
(909) 764-8183
Mailing address
3667 VALLEY BLVD SPC 162, POMONA, CA 91768-6919
(562) 209-9010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APCC3976
CA
101YP2500X
Professional Counselor
Primary
LPCC13944
CA
Other
Enumeration date
09/15/2014
Last updated
06/13/2023
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