Provider Demographics
NPI:1245424563
Name:LEE, BARBARA JOAN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JOAN
Last Name:LEE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1543
Mailing Address - Street 2:
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531-1543
Mailing Address - Country:US
Mailing Address - Phone:707-465-4880
Mailing Address - Fax:707-465-4880
Practice Address - Street 1:540 H ST STE 1
Practice Address - Street 2:
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95531-3744
Practice Address - Country:US
Practice Address - Phone:707-465-4880
Practice Address - Fax:707-929-3545
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT1337106H00000X
CAMFC 36704106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist