Individual
MS. KATHLEEN DIANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LMHP PLADC
Contact information
Practice address
3300 NO 60TH ST, OMAHA, NE 68104
(402) 554-0520
(402) 554-0365
Mailing address
3300 NO 60TH ST, OMAHA, NE 68104
(402) 554-0520
(402) 551-8797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P337
NE
101YM0800X
Mental Health Counselor
1793
NE
1041C0700X
Clinical Social Worker
830
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025225100
MEDICAID
NE
05
—
47037661200
—
NE
Enumeration date
02/22/2007
Last updated
09/11/2025
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