Individual
MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 STODDARD RD, MODESTO, CA 95356-9041
(209) 543-1874
Mailing address
5815 STODDARD RD, MODESTO, CA 95356-9041
(209) 543-1874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
21790
CA
Other
Enumeration date
08/04/2022
Last updated
02/12/2026
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