Individual
BRIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC, LSC
Contact information
Practice address
2200 E ELLENDALE AVE, DALLAS, OR 97338-9353
(503) 623-5588
Mailing address
4706 CARIBOU DR SW, ALBANY, OR 97321-5886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10434124
OR
Other
Enumeration date
08/29/2008
Last updated
07/15/2014
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