Provider Demographics
NPI:1124575832
Name:LEE, KASEY (MS, NCC, PLPC)
Entity Type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MS, NCC, PLPC
Other - Prefix:MISS
Other - First Name:KASEY
Other - Middle Name:
Other - Last Name:KOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:949 S JONATHAN CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-6765
Mailing Address - Country:US
Mailing Address - Phone:417-599-3068
Mailing Address - Fax:
Practice Address - Street 1:949 S JONATHAN CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-6765
Practice Address - Country:US
Practice Address - Phone:417-599-3068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-10
Last Update Date:2016-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional