Provider Demographics
NPI:1952072977
Name:LEE, YOLANDA VICTORIA (LMFT)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:VICTORIA
Last Name:LEE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 ELMWOOD TER
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-3237
Mailing Address - Country:US
Mailing Address - Phone:860-459-4972
Mailing Address - Fax:
Practice Address - Street 1:143 PINE HILL RD UNIT 21C
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:CT
Practice Address - Zip Code:06787-1953
Practice Address - Country:US
Practice Address - Phone:860-459-4972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2689106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist