Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003003724 |
---|---|
Provider Name | Damon Rashad Lee |
First Address | El Monte, CA 91731-1611 |
Second Address | El Monte, CA 91731-1611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2007 |
Last Update Date | 01/10/2007 |