Individual
DR. ANGELA M LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. D, LPC
Contact information
Practice address
4116 GRAYSON PL, DECATUR, GA 30030-6417
(806) 239-3609
Mailing address
5506 GRINNELL ST, LUBBOCK, TX 79416-1118
(806) 239-3609
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
75256
TX
101YM0800X
Mental Health Counselor
75256
TX
101YM0800X
Mental Health Counselor
LPC012049
GA
101YP2500X
Professional Counselor
75256
TX
101YP2500X
Professional Counselor
Primary
LPC012049
GA
Other
Enumeration date
03/02/2017
Last updated
10/24/2023
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