Individual
MIREONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LSATP, CSAC
Contact information
Practice address
701 W BROAD ST STE 305, FALLS CHURCH, VA 22046-3220
(703) 533-3302
(703) 237-2083
Mailing address
701 W BROAD ST STE 305, FALLS CHURCH, VA 22046-3220
(703) 533-3302
(703) 237-2083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710101496
VA
101YP2500X
Professional Counselor
0701002805
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10414712
CAQH
VA
01
—
116161
UNITED BEHAVIORAL HEALTH
VA
01
—
266613
MAMSI
VA
01
—
288328
ANTHEM
VA
01
—
292774
AMERIGROUP
VA
01
—
7950362
AETNA
VA
01
—
89130011
CAREFIRST BCBS
VA
Enumeration date
09/20/2006
Last updated
09/11/2025
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