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John Lee
Mental Health Counselor in Bloomington, Indiana
NPI 1992778567

John Lee is a Mental Health Counselor based in Bloomington, IN and is specialized in Mental Health. John Lee practices in Bloomington, IN. The NPI Number for John Lee is 1992778567 and holds a License No. 39001314A (Indiana).

The current practice location address for John Lee is 101 W Kirkwood Ave, Bloomington, IN and can be reached out via phone at 812-332-9200.

Location: 101 W Kirkwood Ave, Bloomington, IN, 47404-6129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992778567
Provider Name
John Lee
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 W Kirkwood Ave, Bloomington, IN, 47404-6129
Phone Number
812-332-9200
Fax Number
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000275434 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
101 W Kirkwood Ave
City
Bloomington
State
Indiana
Zip
47404-6129
Phone Number
812-332-9200
Fax Number
person
Provider Business Mailing Address Details
Address
101 W Kirkwood Ave
City
Bloomington
State
Indiana
Zip
47404-6129
Phone Number
812-332-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39001314A (Indiana)
Definition
Definition to come...
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