Individual
MRS. MIJA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 W VALENCIA DR, FULLERTON, CA 92833-2106
(330) 861-2317
Mailing address
2271 W MALVERN AVE # 100, FULLERTON, CA 92833-2106
(330) 861-2317
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPCC14124
BBS
CA
Enumeration date
11/11/2016
Last updated
07/31/2023
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