Individual
ELIZABETH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S JACKSON ST, MOSCOW, ID 83843-2037
(509) 339-9328
Mailing address
121 S JACKSON ST, MOSCOW, ID 83843-2037
(509) 339-9328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
COUI-7807
ID
Other
Enumeration date
10/15/2020
Last updated
05/15/2024
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