Doctor Name: | SANDRA DEE LEE |
NPI Number: | 1023159902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH3366 |
Business Practice Address: | 648 Florida Ave Panama City, FL - 324016311 |
Business Phone Number: | 8507696001 |
Business Fax Number: | 8507696003 |
Mailing Address: | 3201 Country Club Dr, LYNN HAVEN |
State: | FL |
Postal Code: | 324445117 |
Phone Number: | 8502656719 |
Fax Number: | 8507696003 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH3366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |