Individual
DAWN MARIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1400 E MCCORD ST, CENTRALIA, IL 62801-3702
(618) 532-4311
Mailing address
1400 E MCCORD ST, CENTRALIA, IL 62801-3702
(618) 532-4311
(618) 532-4316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2311
—
IL
Enumeration date
10/21/2019
Last updated
10/21/2019
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