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NPI Code Detail

MEDICARE: MRS. KATE LEE

MEDICARE:  MRS. KATE  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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2225A00000XMusic Therapist

General Provider Information

NPI Number : 1841768934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATE LEE
Provider Business Mailing Address
First Line : 3909 WOODLEY RD
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1169
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 N PROSPECT ST
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-1335
Country : US
Telephone Number : 419-352-5387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2018
Last Update Date : 12/03/2025

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Directions to “ MRS. KATE LEE ” Practice Location

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