Provider Demographics
NPI:1801577499
Name:LEE, WEN SHAO (LMFTA)
Entity type:Individual
Prefix:
First Name:WEN SHAO
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13670 NE VILLAGE SQUARE DR APT 304
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8811
Mailing Address - Country:US
Mailing Address - Phone:503-858-9965
Mailing Address - Fax:206-267-0668
Practice Address - Street 1:13670 NE VILLAGE SQUARE DR APT 304
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8811
Practice Address - Country:US
Practice Address - Phone:503-858-9965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61541006101YM0800X
WAMG61424359106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health