Provider Demographics
NPI:1255664389
Name:LEE, KENDRA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:KENDRA
Middle Name:L
Last Name:LEE
Suffix:
Gender:F
Credentials:LPC
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 926066
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77292-6066
Mailing Address - Country:US
Mailing Address - Phone:832-703-6369
Mailing Address - Fax:
Practice Address - Street 1:2200 NORTH LOOP W
Practice Address - Street 2:SUITE# 351
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8009
Practice Address - Country:US
Practice Address - Phone:832-703-6369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62678101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional