Individual
TERRI LYNNE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
209 W PARKLAND DR, YUKON, OK 73099-5817
(480) 628-0961
Mailing address
209 W PARKLAND DR, YUKON, OK 73099-5817
(480) 628-0961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
13663
AZ
101YP2500X
Professional Counselor
Primary
4619
OK
Other
Enumeration date
04/25/2011
Last updated
02/24/2012
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