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NPI Code Detail

MEDICARE: REBECCA LEE LMFT

MEDICARE:   REBECCA  LEE  LMFT
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1477709202
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LEE LMFT
Provider Business Mailing Address
First Line : 10065 OLD GROVE RD STE 102
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-1664
Country : US
Telephone Number : 858-225-7626
Fax Number :
Provider Business Practice Location Address
First Line : 7155 MISSION GORGE RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92120-1130
Country : US
Telephone Number : 858-300-0460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 06/30/2019

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Directions to “ REBECCA LEE LMFT” Practice Location

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