Individual
LANITRA WILSON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
4385 NARROW LANE RD, MONTGOMERY, AL 36116-2978
(334) 747-7754
Mailing address
4371 NARROW LANE RD STE 201, MONTGOMERY, AL 36116-2975
(334) 245-9743
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
04646
AL
101YM0800X
Mental Health Counselor
Primary
LPC04646
AL
Other
Enumeration date
03/27/2020
Last updated
11/01/2024
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