Provider Demographics
NPI:1811582661
Name:LEE, ADAM JEFFREY (LAMFT)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JEFFREY
Last Name:LEE
Suffix:
Gender:M
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 GREENVIEW DR SW STE 113
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-1080
Mailing Address - Country:US
Mailing Address - Phone:507-261-4049
Mailing Address - Fax:507-936-3088
Practice Address - Street 1:1530 GREENVIEW DR SW STE 113
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-1080
Practice Address - Country:US
Practice Address - Phone:507-261-4049
Practice Address - Fax:507-936-3088
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303631101YA0400X
MN4047101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)