Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LH60266010 | WA |
NPI | 1003177791 |
---|---|
Provider Name | Robin Kay Lee |
First Address | Wenatchee, WA 98801-3050 |
Second Address | Wenatchee, WA 98801-3050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2012 |
Last Update Date | 30/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
LH60266010 | STATE LICENSE FOR COUNSELOR (01) | WA |
MC60159981 | COUNSELOR ASSOCIATE LICENSE (01) | WA |