| Doctor Name: | MARTHA LEE |
| NPI Number: | 1578641726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, MFT |
| License Number: | MFC 54031 |
| Business Practice Address: | 32 Main St Sutter Creek, CA - 956854231 |
| Business Phone Number: | 2092235105 |
| Business Fax Number: | 2092237679 |
| Mailing Address: | 9764 Bovill Dr, ELK GROVE |
| State: | CA |
| Postal Code: | 956244474 |
| Phone Number: | 9168420207 |
| Fax Number: | 9163829770 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 10/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFC 54031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |