Provider Demographics
NPI:1487815171
Name:LEE, NANCY J (LMHC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:LEE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 KWINA RD
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-9291
Mailing Address - Country:US
Mailing Address - Phone:360-384-7110
Mailing Address - Fax:360-380-6976
Practice Address - Street 1:2665 KWINA RD
Practice Address - Street 2:SUITE 1600
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-9291
Practice Address - Country:US
Practice Address - Phone:360-384-7110
Practice Address - Fax:360-380-6976
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60251843101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health