Individual
TAMMY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-ASSOCIATE
Contact information
Practice address
777 HIGH ST STE 240, EUGENE, OR 97401-2759
(541) 357-3248
Mailing address
14410 77TH AVENUE CT E, PUYALLUP, WA 98375-7048
(541) 671-2777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R6977
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HM301E9J
—
OR
Enumeration date
08/25/2021
Last updated
04/15/2024
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