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Individual

SAM Y. LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
281 INDEPENDENCE BLVD, PEMBROKE ONE BUILDING SUITE 326, VIRGINIA BEACH, VA 23462-2986
(757) 490-0377
Mailing address
1129 SHEPPARD AVE, NORFOLK, VA 23518-2827
(757) 588-1618

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004620
VA

Other

Enumeration date
05/04/2011
Last updated
05/09/2011
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