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General NPI Number Information
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NPI Number | 1649129842
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Entity Type | Individual
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Provider Name | KYOUNG EUN LEE
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Gender | Female
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 330 N BRAND BLVD
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City | GLENDALE
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State | CA
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Zip | 91203-2308
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Country | US
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Telephone | 628-263-3658
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Fax |
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Provider Business Mailing Address
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Address Line | 2093 PHILADELPHIA PIKE # 9898
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City | CLAYMONT
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State | DE
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Zip | 19703-2424
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Country | US
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Telephone | 628-263-3658
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37AC00938000
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License Number State | NJ
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