Provider Demographics
NPI:1225152143
Name:LEE COUNSELING
Entity Type:Organization
Organization Name:LEE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REESE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:CAC, LPC
Authorized Official - Phone:814-345-6236
Mailing Address - Street 1:1661 HARDSCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:MUNSON
Mailing Address - State:PA
Mailing Address - Zip Code:16860-9404
Mailing Address - Country:US
Mailing Address - Phone:814-345-6236
Mailing Address - Fax:814-345-6230
Practice Address - Street 1:1661 HARDSCRABBLE RD
Practice Address - Street 2:
Practice Address - City:MUNSON
Practice Address - State:PA
Practice Address - Zip Code:16860-9404
Practice Address - Country:US
Practice Address - Phone:814-345-6236
Practice Address - Fax:814-345-6230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-17
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001825101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty