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Individual

JENNIFER LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT, MDIV, LMFT

Contact information

Practice address
2409 TOWN LAKE CIR APT 126, AUSTIN, TX 78741-3065
(856) 600-1004
Mailing address
13026 TAMAYO DR, AUSTIN, TX 78729-7380
(210) 560-1983

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
202451
TX
106H00000X
Marriage & Family Therapist
Primary
723
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202451
LMFT
TX
Enumeration date
02/23/2021
Last updated
01/02/2025
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