Provider Demographics
NPI:1942587522
Name:LEE, ANNE B (LCPC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:B
Last Name:LEE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4948 SAINT ELMO AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6013
Mailing Address - Country:US
Mailing Address - Phone:301-654-1583
Mailing Address - Fax:301-654-1584
Practice Address - Street 1:4948 SAINT ELMO AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6013
Practice Address - Country:US
Practice Address - Phone:301-654-1583
Practice Address - Fax:301-654-1584
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3642101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional