MEDICARE: DONALD LEE LPC

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
1	101YP2500X	Professional Counselor	17603	TX

General Provider Information

NPI Number	:	1518292762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD LEE LPC

Provider Business Mailing Address
First Line	:	3131 TURTLE CREEK BLVD
Second Line	:	SUITE 805
City	:	DALLAS
State	:	TX
Zip	:	75219-5405
Country	:	US
Telephone Number	:	469-767-3663
Fax Number	:	214-522-2507

Provider Business Practice Location Address
First Line	:	3131 TURTLE CREEK BLVD
Second Line	:	SUITE 805
City	:	DALLAS
State	:	TX
Zip	:	75219-5405
Country	:	US
Telephone Number	:	469-767-3663
Fax Number	:	214-522-2507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2009
Last Update Date	:	09/03/2014

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Directions to “ DONALD LEE LPC” Practice Location

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