| Doctor Name: | MRS. JENNIFER NICOLE LEE |
| NPI Number: | 1649603879 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LMHC |
| License Number: | |
| Business Practice Address: | 6655 E Us Highway 36 Avon, IN - 461238923 |
| Business Phone Number: | 3172723330 |
| Business Fax Number: | 3172720807 |
| Mailing Address: | 6389 Capitol Ct, Apt A AVON |
| State: | IN |
| Postal Code: | 461234648 |
| Phone Number: | 7654999057 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2013 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |