Individual
ALICE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADWAY STE 2010, NEW YORK, NY 10007-3738
(551) 242-9089
Mailing address
808 ELM AVE, RIDGEFIELD, NJ 07657-1209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P116166
NY
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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