Individual
MR. KERRY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Contact information
Practice address
40 BROADWAY, NORWICH, CT 06360-5702
(860) 887-6536
(860) 885-1970
Mailing address
40 BROADWAY, NORWICH, CT 06360-5702
(860) 887-6536
(860) 885-1970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000817
CT
1041C0700X
Clinical Social Worker
Primary
006353
CT
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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