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NPI Code Detail

MEDICARE: JENNY LEE

MEDICARE: JENNY 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
1390200000XStudent in an Organized Health Care Education/Training ProgramWA
2101YM0800XMental Health CounselorLH61572523WA

General Provider Information

NPI Number : 1447727599
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY LEE
Provider Business Mailing Address
First Line : 10215 LAKE CITY WAY NE STE H
Second Line :
City : SEATTLE
State : WA
Zip : 98125-7758
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10215 LAKE CITY WAY NE STE H
Second Line :
City : SEATTLE
State : WA
Zip : 98125-7758
Country : US
Telephone Number : 206-417-9904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2018
Last Update Date : 03/16/2026

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Directions to “ JENNY LEE ” Practice Location

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