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Individual

MR. JEFFREY ALLEN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

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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