person
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. You can also correspond with John Lee through the mailing address at 101 W KIRKWOOD AVE, BLOOMINGTON, IN - 47404-6129 (mailing address contact number: 812-332-9200).

Location: 101 W Kirkwood Ave, Bloomington, IN, 47404-6129
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
State
Zip
47404-6129
Phone Number
812-332-9200
Fax Number
person
Provider Business Mailing Address Details
Address
101 W Kirkwood Ave
City
State
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
License No.
39001314A (Indiana)
Definition
Definition to come...
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