Individual
JERELYN GENTRY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8201 QUIVIRA RD, LENEXA, KS 66215-2703
(423) 756-2894
Mailing address
4610 E. DOUGLAS STREET, SUITE 150, WICHITA, KS 67218
(423) 785-7841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
03880
KS
101YP2500X
Professional Counselor
24331131125
MI
101YP2500X
Professional Counselor
Primary
5915
TN
Other
Enumeration date
08/06/2018
Last updated
12/03/2024
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