Individual
MARK J LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,
Contact information
Practice address
412 SOUTHWEST HIGHWAY 101, LINCOLN CITY, OR 97367
(541) 557-1892
Mailing address
412 SOUTHWEST HIGHWAY 101, LINCOLN CITY, OR 97367
(541) 557-1892
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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