Provider Demographics
NPI:1639546492
Name:LEE, DANIELLE (LPC-S)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70819-4033
Mailing Address - Country:US
Mailing Address - Phone:225-803-9054
Mailing Address - Fax:
Practice Address - Street 1:990 PONDEROSA DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70819-4033
Practice Address - Country:US
Practice Address - Phone:225-803-9054
Practice Address - Fax:888-928-1063
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5647101YM0800X
TX81574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health