Individual
GARRETT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CATC IV
Contact information
Practice address
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303-4255
(818) 610-6771
Mailing address
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303-4255
(213) 310-2873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
164498IV
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
AII051300218
CA
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/03/2017
Last updated
05/12/2022
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