Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1194290494 |
---|---|
Provider Name | Ka Yeng Lee |
First Address | Fresno, CA 93727-3811 |
Second Address | Fresno, CA 93727-3811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2018 |
Last Update Date | 25/09/2019 |