Doctor Name: | LEE J MONAHAN |
NPI Number: | 1013977875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | L3643 |
Business Practice Address: | 627 Ne Evans St Mcminnville, OR - 971283923 |
Business Phone Number: | 5034347523 |
Business Fax Number: | |
Mailing Address: | 627 Ne Evans St, MCMINNVILLE |
State: | OR |
Postal Code: | 971283923 |
Phone Number: | 5034347523 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 06/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | L3643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |