Individual
TANYA LATRICE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
11291
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255940185
—
OK
05
—
1275355950
—
AZ
05
—
200927670
—
OK
05
—
201160590
—
OK
Enumeration date
07/27/2020
Last updated
11/04/2024
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