Provider Demographics
NPI:1760090203
Name:LEE, ADINE J (MA CFT)
Entity Type:Individual
Prefix:
First Name:ADINE
Middle Name:J
Last Name:LEE
Suffix:
Gender:F
Credentials:MA CFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 W MERCER ST APT 306
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3956
Mailing Address - Country:US
Mailing Address - Phone:206-453-8396
Mailing Address - Fax:
Practice Address - Street 1:15 S GRADY WAY STE 241
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3209
Practice Address - Country:US
Practice Address - Phone:425-235-9386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist