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Individual

EMILY MICHELLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
305 E MISSISSIPPI AVE, RUSTON, LA 71270-3905
(318) 202-3706
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC11155
LA
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/22/2025
Last updated
03/04/2026
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