Provider Demographics
NPI:1447390810
Name:BUDAHN, LEE THOMASON (LSATP (VA) LMFT (DC))
Entity Type:Individual
Prefix:MS
First Name:LEE
Middle Name:THOMASON
Last Name:BUDAHN
Suffix:
Gender:F
Credentials:LSATP (VA) LMFT (DC)
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:CARLYLE
Other - Last Name:THOMASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2100 PENNSYLVANIA AVE NW STE W
Mailing Address - Street 2:KAISER PERMANENTE BEHAVIORAL HEALTH, 4TH FL
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3227
Mailing Address - Country:US
Mailing Address - Phone:202-721-2137
Mailing Address - Fax:202-721-2121
Practice Address - Street 1:2100W PENNSYLVANIA AVE NW FL 4
Practice Address - Street 2:KAISER PERMANENTE BEHAVIORAL HEALTH
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-721-2137
Practice Address - Fax:202-721-2121
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000187101Y00000X
VACLSATP#0718000187101Y00000X
DCLMFT000044106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist