Individual
MELISSA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GREENE ST APT 2005, JERSEY CITY, NJ 07311-1442
(848) 391-6360
Mailing address
200 GREENE ST APT 2005, JERSEY CITY, NJ 07311-1442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00680300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NA
—
Enumeration date
01/06/2023
Last updated
01/06/2023
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