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NPI Code Detail

MEDICARE: JAIMEY LYNN LEE MFTI

MEDICARE: JAIMEY LYNN LEE MFTI
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 TherapistMFTI 93036CA

General Provider Information

NPI Number : 1699804666
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIMEY LYNN LEE MFTI
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-6601
Fax Number : 661-868-1507
Provider Business Practice Location Address
First Line : 5121 STOCKDALE HWY STE 275
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-2667
Country : US
Telephone Number : 661-868-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 06/14/2016

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Directions to “ JAIMEY LYNN LEE MFTI” Practice Location

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