Individual
JAE JESSE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
495 APPLE ST, SUITE 225, RENO, NV 89502-3553
(775) 335-5625
Mailing address
495 APPLE STREET, SUITE 225, RENO, NV 89502
(775) 335-5625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/30/2013
Last updated
05/25/2016
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