Individual
DAWN MARIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
17337 RESERVATION ROAD, LACONNER, WA 98257-8802
(360) 466-7273
Mailing address
4914 WILDLIFE ACRES LN, SEDRO WOOLLEY, WA 98284-7828
(360) 391-2988
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00004174
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995216
—
WA
Enumeration date
07/29/2009
Last updated
07/19/2010
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