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Individual

CARISSA CLAIRE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075
Mailing address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCSW00001259
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001259
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7101122680
KY
Enumeration date
10/14/2024
Last updated
02/03/2026
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