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Tae Son Lee, CDP, DVC

Counselor, Addiction (Substance Use Disorder) in Lakewood, WA. Individual provider (NPI-1).

NPI number1679904841
StatusActive
Last updated in NPPESDec 12, 2013

Details

NPI
1679904841
Entity type
Individual (NPI-1)
Name
Mr. Tae Son Lee
Credential
CDP, DVC
Sex
Male
Sole proprietor
No
Enumeration date
Dec 12, 2013
Last updated
Dec 12, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CP00001153WAYes
101YP2500X Counselor, ProfessionalCP00001153WA

Practice location

8811 S Tacoma Way #106
Lakewood, WA 98499

Phone 253-302-3826 · Fax 253-946-1660

Mailing address

8811 S Tacoma Way #106
Lakewood, WA 98499

Phone 253-302-3826 · Fax 253-946-1660

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