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NPI Code Detail

MEDICARE: DINEYTRA RENE LEE

MEDICARE:   DINEYTRA RENE LEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorAPCC3976CA
2101YP2500XProfessional CounselorLPCC13944CA

General Provider Information

NPI Number : 1245631837
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINEYTRA RENE LEE
Provider Business Mailing Address
First Line : 742 W HIGHLAND AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-3839
Country : US
Telephone Number : 909-881-7320
Fax Number : 909-881-7330
Provider Business Practice Location Address
First Line : 742 W HIGHLAND AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-3839
Country : US
Telephone Number : 909-881-7320
Fax Number : 909-881-7330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2014
Last Update Date : 06/11/2026

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Directions to “ DINEYTRA RENE LEE ” Practice Location

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