Provider Demographics
NPI:1013298819
Name:VANG, LEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LEE
Middle Name:
Last Name:VANG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 WESTOVER HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2962
Mailing Address - Country:US
Mailing Address - Phone:828-493-7517
Mailing Address - Fax:
Practice Address - Street 1:721 WESTOVER HILLS DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2962
Practice Address - Country:US
Practice Address - Phone:828-493-7517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0089561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical