Provider Demographics
NPI:1942519186
Name:LEE, DEBORAH (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 HIGHWAY 34
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-6685
Mailing Address - Country:US
Mailing Address - Phone:732-264-8878
Mailing Address - Fax:732-566-7727
Practice Address - Street 1:746 HIGHWAY 34
Practice Address - Street 2:SUITE 3
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-6685
Practice Address - Country:US
Practice Address - Phone:732-264-8878
Practice Address - Fax:732-566-7727
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00389700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional