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Justin Sewon Lee, MA
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1750566105

Justin Sewon Lee is a Student in an Organized Health Care Education/Training Program based in Penn Valley, CA. Justin Sewon Lee practices in Oakland, CA and has the professional credentials of MA. The NPI Number for Justin Sewon Lee is 1750566105 and holds a License No. (California).

The current practice location address for Justin Sewon Lee is 401 Roland Way, Oakland, CA and can be reached out via phone at 510-746-2800.

Location: 401 Roland Way, Oakland, CA, 95946-9574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750566105
Provider Name
Justin Sewon Lee
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
401 Roland Way, Oakland, CA, 95946-9574
Phone Number
510-746-2800
Fax Number
Provider Enumeration Date
01/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Roland Way
City
Oakland
State
California
Zip
94621-2034
Phone Number
510-746-2800
Fax Number
person
Provider Business Mailing Address Details
Address
401 Roland Way
City
Oakland
State
California
Zip
94621-2034
Phone Number
510-746-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMF 75918 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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