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Michael Jason Lee
Peer Specialist in Elizabethtown, Kentucky
NPI 1689448128

Michael Jason Lee is a Peer Specialist based in Elizabethtown, KY. Michael Jason Lee practices in Elizabethtown, KY. The NPI Number for Michael Jason Lee is 1689448128 and holds a License No. (Kentucky).

The current practice location address for Michael Jason Lee is 100 Par Ln Ste 102, Elizabethtown, KY and can be reached out via phone at 270-320-2605.

Location: 100 Par Ln Ste 102, Elizabethtown, KY, 42701-9023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689448128
Provider Name
Michael Jason Lee
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Par Ln Ste 102, Elizabethtown, KY, 42701-9023
Phone Number
270-320-2605
Fax Number
Provider Enumeration Date
11/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Par Ln Ste 102
City
Elizabethtown
State
Kentucky
Zip
42701-9023
Phone Number
270-320-2605
Fax Number
person
Provider Business Mailing Address Details
Address
100 Par Ln Ste 102
City
Elizabethtown
State
Kentucky
Zip
42701-9023
Phone Number
270-320-2605
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Kentucky)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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