person
Mireong Lee, LPC,LSATP,CSAC
Professional Counselor in Falls Church, Virginia
NPI 1538266671

Mireong Lee is a Professional Counselor based in Falls Church, VA and is specialized in Professional. Mireong Lee practices in Falls Church, VA and has the professional credentials of LPC,LSATP,CSAC. The NPI Number for Mireong Lee is 1538266671 and holds a License No. 0710101496 (Virginia).

The current practice location address for Mireong Lee is 701 W Broad St Ste 305, Falls Church, VA and can be reached out via phone at 703-533-3302 and via fax at 703-237-2083. You can also correspond with Mireong Lee through the mailing address at 701 W BROAD ST STE 305, FALLS CHURCH, VA - 22046-3220 (mailing address contact number: 703-533-3302).

Location: 701 W Broad St Ste 305, Falls Church, VA, 22046-3220
person
Provider Profile Details
NPI Number
1538266671
Provider Name
Mireong Lee
Credential
LPC,LSATP,CSAC
Provider Entity Type
Individual
Gender
Female
Address
701 W Broad St Ste 305, Falls Church, VA, 22046-3220
Phone Number
703-533-3302
Fax Number
703-237-2083
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10414712 01 VA CAQH
7950362 01 VA AETNA
292774 01 VA AMERIGROUP
89130011 01 VA CAREFIRST BCBS
266613 01 VA MAMSI
288328 01 VA ANTHEM
116161 01 VA UNITED BEHAVIORAL HEALTH
institution
Provider Business Practice Location Address Details
Address
701 W Broad St Ste 305
City
State
Zip
22046-3220
Phone Number
703-533-3302
Fax Number
703-237-2083
person
Provider Business Mailing Address Details
Address
701 W Broad St Ste 305
City
State
Zip
22046-3220
Phone Number
703-533-3302
Fax Number
703-237-2083
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0701002805 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0710101496 (Virginia)
Definition
Definition to come...
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