Organization
RASTONYA LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASTONYA L LEE LPC (COUNSELOR/THERAPIST)
(214) 870-9020
Entity
Organization
Contact information
Practice address
924 KINGSTON DR, MANSFIELD, TX 76063-2650
(214) 870-9020
Mailing address
924 KINGSTON DR, MANSFIELD, TX 76063-2650
(214) 870-9020
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
66286
TX
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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