Individual
MS. THERESA ANN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAP
Contact information
Practice address
599 SHERWOOD AVE, SUITE 110, SATELLITE BEACH, FL 32937-3075
(321) 223-0454
(321) 332-0645
Mailing address
599 SHERWOOD AVE, SUITE 110, SATELLITE BEACH, FL 32937-3075
(321) 223-0454
(321) 332-0645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
007768-2015
FL
Other
Enumeration date
03/10/2015
Last updated
09/24/2015
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