Doctor Name: | MS. REBECCA ANN LEE |
NPI Number: | 1700947215 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | |
Business Practice Address: | 2 S Bridge Dr Unit 2 Agawam, MA - 010012015 |
Business Phone Number: | 4138968936 |
Business Fax Number: | 4137897444 |
Mailing Address: | 35 Craig Dr, Apt 6n WEST SPRINGFIELD |
State: | MA |
Postal Code: | 010894731 |
Phone Number: | 4138968936 |
Fax Number: | 4137897444 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 05/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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 |