Individual
MS. TANYA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
206 7TH AVE, CHIPPEWA FALLS, WI 54729-1216
(715) 864-2146
Mailing address
206 7TH AVE, CHIPPEWA FALLS, WI 54729-1216
(715) 864-2146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19058-130
WI
101YM0800X
Mental Health Counselor
8769-125
WI
101YP2500X
Professional Counselor
Primary
8769-125
WI
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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