| Doctor Name: | MS. JENNIFER LYNN LEE |
| NPI Number: | 1104165208 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RMHCI |
| License Number: | IMH5456 |
| Business Practice Address: | 2449 Sw Savage Blvd Port Saint Lucie, FL - 349537440 |
| Business Phone Number: | 4079513679 |
| Business Fax Number: | |
| Mailing Address: | 2449 Sw Savage Blvd, PORT SAINT LUCIE |
| State: | FL |
| Postal Code: | 349537440 |
| Phone Number: | 4079513679 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2013 |
| NPI Last Update Date: | 02/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMH5456 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |