Individual
MR. TAE SON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP, DVC
Contact information
Practice address
8811 S TACOMA WAY #106, LAKEWOOD, WA 98499
(253) 302-3826
(253) 946-1660
Mailing address
8811 S TACOMA WAY #106, LAKEWOOD, WA 98499
(253) 302-3826
(253) 946-1660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001153
WA
101YP2500X
Professional Counselor
CP00001153
WA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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