Individual
DENISE MICHELLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
1484 9TH ST, FORTUNA, CA 95540-1502
(707) 601-8498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A051770218
CA
104100000X
Social Worker
Primary
105584
CA
Other
Enumeration date
02/27/2019
Last updated
06/11/2024
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