Individual
AMY M LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., LMHC, NBCC
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4200
Mailing address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 7101
FL
Other
Enumeration date
11/28/2005
Last updated
07/08/2007
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