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Thelma Nicole Lee
Peer Specialist in Ellington, Missouri
NPI 1801585351

Thelma Nicole Lee is a Peer Specialist based in Ellington, MO. Thelma Nicole Lee practices in Ellington, MO. The NPI Number for Thelma Nicole Lee is 1801585351 and holds a License No. (Missouri).

The current practice location address for Thelma Nicole Lee is 315 E Walnut St, Ellington, MO and can be reached out via phone at 573-663-2644.

Location: 315 E Walnut St, Ellington, MO, 63638-7943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801585351
Provider Name
Thelma Nicole Lee
Credential
Provider Entity Type
Individual
Gender
Female
Address
315 E Walnut St, Ellington, MO, 63638-7943
Phone Number
573-663-2644
Fax Number
Provider Enumeration Date
05/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 E Walnut St
City
Ellington
State
Missouri
Zip
63638-7943
Phone Number
573-663-2644
Fax Number
person
Provider Business Mailing Address Details
Address
315 E Walnut St
City
Ellington
State
Missouri
Zip
63638-7943
Phone Number
573-663-2644
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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