Individual
DR. JIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
29 ROUTE 34 N, COLTS NECK CONSULTING GROUP, COLTS NECK, NJ 07722-1555
(732) 780-6363
Mailing address
8 GRAND ST, SOUTH AMBOY, NJ 08879-2144
(973) 224-5661
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
TP043-443
NJ
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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