Individual
CINDY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
3908 N PENIEL AVE STE 420, BETHANY, OK 73008-3402
(405) 812-5104
Mailing address
2311 TERRA TRL, EDMOND, OK 73034-3441
(405) 812-5104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1066
OK
1041C0700X
Clinical Social Worker
Primary
4609
OK
Other
Enumeration date
04/19/2010
Last updated
08/01/2013
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