Jenneah K Lee, LCSW
Social Worker, Clinical in Tyler, TX. Individual provider (NPI-1).
NPI number1497536668
StatusActive
Last updated in NPPESMar 20, 2025
Details
- NPI
- 1497536668
- Entity type
- Individual (NPI-1)
- Name
- Jenneah K Lee
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2023
- Certification date
- Mar 20, 2025
- Last updated
- Mar 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 103715 | TX | Yes |
Practice location
2323 W Front StTyler, TX 75702-7747
Phone 903-535-1351 · Fax 903-535-7384
Mailing address
2323 W Front StTyler, TX 75702-7747
Phone 903-597-1351 · Fax 903-535-7384
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