Provider Demographics
NPI:1982837167
Name:LEE, YE (BA)
Entity Type:Individual
Prefix:MRS
First Name:YE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12900 GARDEN GROVE BLVD STE A214
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-2026
Mailing Address - Country:US
Mailing Address - Phone:714-636-9095
Mailing Address - Fax:714-636-8354
Practice Address - Street 1:12900 GARDEN GROVE BLVD., SUITE 214A
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843
Practice Address - Country:US
Practice Address - Phone:714-636-9095
Practice Address - Fax:714-636-8354
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker