Organization
J.P. LEE, LLC
Active
Other names
Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY L HAGEMAN PLMHP (PROVISIONAL)
(308) 532-8300
Entity
Organization
Contact information
Practice address
425 N OAK ST, NORTH PLATTE, NE 69101-3764
(308) 532-8300
(308) 532-4629
Mailing address
425 N OAK ST, NORTH PLATTE, NE 69101-3764
(308) 532-8300
(308) 532-4629
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10101
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253495-00
—
NE
Enumeration date
10/25/2013
Last updated
10/25/2013
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