=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760090203
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ADINE J LEE MA CFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2020
-----------------------------------------------------
Last Update Date | 02/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18537 1ST AVE S STE B
-----------------------------------------------------
City | NORMANDY PARK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98148-1867
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-390-4616
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18537 1ST AVE S STE B
-----------------------------------------------------
City | NORMANDY PARK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98148-1867
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-390-4616
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------