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NPI Code Detail

MEDICARE: HYUN JU LEE LMFT, PHD

MEDICARE: HYUN JU LEE LMFT, PHD
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
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family TherapistLMFT146052CA

General Provider Information

NPI Number : 1538911953
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYUN JU LEE LMFT, PHD
Provider Business Mailing Address
First Line : PO BOX 8056
Second Line :
City : LA CRESCENTA
State : CA
Zip : 91224-0056
Country : US
Telephone Number : 213-744-0060
Fax Number :
Provider Business Practice Location Address
First Line : 5152 KATELLA AVE STE 205
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-2846
Country : US
Telephone Number : 213-744-0060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2024
Last Update Date : 04/06/2024

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Directions to “ HYUN JU LEE LMFT, PHD” Practice Location

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