Doctor Name: | MS. FRIEDA LUTANYA LEE |
NPI Number: | 1043576499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED,LCAS-P |
License Number: | |
Business Practice Address: | 234 Main St E Ahoskie, NC - 279103418 |
Business Phone Number: | 2528620002 |
Business Fax Number: | 2528620007 |
Mailing Address: | 137 Johnny Mitchell Rd, AHOSKIE |
State: | NC |
Postal Code: | 279109460 |
Phone Number: | 2526424774 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 04/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |