Individual
JEREMIAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC, LMHP, PLADC
Contact information
Practice address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
(402) 644-5419
Mailing address
300 N 18TH ST, NORFOLK, NE 68701-3622
(402) 371-3438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-372
NE
101YM0800X
Mental Health Counselor
3037
NE
101YP2500X
Professional Counselor
1570
NE
Other
Enumeration date
12/22/2006
Last updated
11/20/2007
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