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General NPI Number Information
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NPI Number | 1134018245
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Entity Type | Organization
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Legal Business Name | JR LEE PSYCHOTHERAPY SERVICES & CONSULTATION, LTD.
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 6 W FULTON ST
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City | EDGERTON
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State | WI
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Zip | 53534-1820
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Country | US
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Telephone | 608-770-3803
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Fax |
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Provider Business Mailing Address
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Address Line | 6 W FULTON ST
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City | EDGERTON
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State | WI
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Zip | 53534-1820
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Country | US
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Telephone | 608-770-3803
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA R LEE
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Credential | MS, LPC, NCC, ACS
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Telephone | 608-770-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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