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NPI Code Detail

MEDICARE: VENITA DICKSON LEE

MEDICARE: VENITA DICKSON 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
1106H00000XMarriage & Family TherapistAMFT113311CA

General Provider Information

NPI Number : 1992827372
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENITA DICKSON LEE
Provider Business Mailing Address
First Line : 2514 N WHITTIER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1462
Country : US
Telephone Number : 310-689-9988
Fax Number : 559-554-9703
Provider Business Practice Location Address
First Line : 2514 N WHITTIER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1462
Country : US
Telephone Number : 310-689-9988
Fax Number : 559-554-9703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 11/25/2025

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Directions to “ VENITA DICKSON LEE ” Practice Location

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