Organization
KEVIN E. LEE MFT
Active
Organization
KEVIN E. LEE MFT
Active
Other names
KEVIN E LEE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN EUGENE LEE MFT (OWNER)
(909) 917-5672
Entity
Organization
Contact information
Practice address
8320 MISSION BLVD, 4, JURUPA VALLEY, CA 92509-2970
(951) 329-9086
(951) 777-2066
Mailing address
8320 MISSION BLVD STE 4, RIVERSIDE, CA 92509-2970
(951) 329-9086
(951) 777-2066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC169650
CA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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