Provider Demographics
NPI:1568728400
Name:LEE-BRENNER, SIERRA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:
Last Name:LEE-BRENNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SEUNG-EUN
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:3609 POINT WHITE DR NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-4055
Mailing Address - Country:US
Mailing Address - Phone:206-753-7844
Mailing Address - Fax:
Practice Address - Street 1:811 1ST AVE
Practice Address - Street 2:SUITE 468
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1457
Practice Address - Country:US
Practice Address - Phone:206-753-7844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2015-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00011272101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health