Provider Demographics
NPI:1669750048
Name:LEE, ANNETTE (LMHC)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 SULLYS TRL
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-4566
Mailing Address - Country:US
Mailing Address - Phone:585-299-1010
Mailing Address - Fax:
Practice Address - Street 1:125 SULLYS TRL
Practice Address - Street 2:SUITE 6A
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-4566
Practice Address - Country:US
Practice Address - Phone:585-299-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006101101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health