Individual
MR. JEFFREY ALLEN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
38 E 100 N STE B, VERNAL, UT 84078-2122
(435) 781-8000
Mailing address
814 NE 87TH AVE., VANCOUVER, WA 98604
(360) 910-1522
(360) 326-1522
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60229346
WA
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
2242
OR
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
171M00000X
—
Other
Enumeration date
08/05/2008
Last updated
07/21/2022
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