Individual
JOSHUA R LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS/LPE
Contact information
Practice address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
(479) 890-5364
Mailing address
1622 DONAGHEY AVE, CONWAY, AR 72034-3221
(501) 327-7706
(501) 328-2244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y591
ARK BCBS
AR
Enumeration date
10/02/2006
Last updated
10/10/2011
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