Individual
MRS. JENNIFER NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(317) 272-3330
(317) 272-0807
Mailing address
6389 CAPITOL CT, APT A, AVON, IN 46123-4648
(765) 499-9057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
39002821A
IN
Other
Enumeration date
08/12/2013
Last updated
02/09/2016
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