Provider Demographics
NPI:1104061811
Name:LEE, AUDREY GAIL
Entity type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:GAIL
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:AUDREY
Other - Middle Name:GAIL
Other - Last Name:BATTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1663 MISSION ST
Mailing Address - Street 2:# 310
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2400
Mailing Address - Country:US
Mailing Address - Phone:415-581-0449
Mailing Address - Fax:415-581-0458
Practice Address - Street 1:1663 MISSION ST
Practice Address - Street 2:# 310
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2400
Practice Address - Country:US
Practice Address - Phone:415-581-0449
Practice Address - Fax:415-581-0458
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor