Individual
MIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 N 1ST ST STE 200, SAN JOSE, CA 95112-6311
(408) 643-9553
Mailing address
777 N 1ST ST STE 200, SAN JOSE, CA 95112-6311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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