Provider Demographics
NPI:1083127294
Name:LEE, JANICE ENDERS (LCMHC, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:ENDERS
Last Name:LEE
Suffix:
Gender:F
Credentials:LCMHC, LCAS
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:ENDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:331 HALE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-3114
Mailing Address - Country:US
Mailing Address - Phone:336-213-8028
Mailing Address - Fax:336-223-0449
Practice Address - Street 1:2505 S MEBANE ST STE A-B
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6385
Practice Address - Country:US
Practice Address - Phone:336-223-0444
Practice Address - Fax:336-223-0449
Is Sole Proprietor?:No
Enumeration Date:2017-11-09
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2524101YA0400X
NC9292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)