Individual
CRYSTAL ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
Mailing address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61493515
WA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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