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NPI Code Detail

MEDICARE: MS. CHRISTIE ANNE LEE LPC, MFT, MFC

MEDICARE: MS. CHRISTIE ANNE LEE LPC, MFT, MFC
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 Counselor433CO
2101YP2500XProfessional Counselor642CO
3101YP2500XProfessional Counselor36231CA

General Provider Information

NPI Number : 1316088461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTIE ANNE LEE LPC, MFT, MFC
Provider Business Mailing Address
First Line : 19 E RAMONA AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-2209
Country : US
Telephone Number : 719-243-1821
Fax Number : 719-633-5984
Provider Business Practice Location Address
First Line : 2135 SOUTHGATE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-2605
Country : US
Telephone Number : 719-633-4114
Fax Number : 719-633-5984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2007
Last Update Date : 07/08/2007

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