Individual provider · Type 1 NPI
Cordellero Dashun Lee
Mental Health Counselor · San Rafael, CA
NPI number
1033540356
Active
Practice location
1 Saint Vincents Dr
San Rafael, CA 94903-1504
Mailing address
1421 Guerneville Rd
Santa Rosa, CA 95403-7220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1033540356
Cordellero Dashun Lee's National Provider Identifier is 1033540356, issued on Dec 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jun 30, 2015.