Provider Demographics
NPI:1689816647
Name:LEE, KAREN DAYLE (EDD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:DAYLE
Last Name:LEE
Suffix:
Gender:F
Credentials:EDD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 GALLERY COURT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-870-7799
Mailing Address - Fax:
Practice Address - Street 1:16007 VIA SHAVANO
Practice Address - Street 2:STE. 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249
Practice Address - Country:US
Practice Address - Phone:210-870-7799
Practice Address - Fax:210-615-9400
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004387101YM0800X
TX11408101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health