Individual provider · Type 1 NPI

Grace Lee

Mental Health Counselor · Fair Lawn, NJ

NPI number 1255067633 Active

Practice location

22-08 Route 208
Fair Lawn, NJ 07410-2609

Mailing address

1071 Washington Ave N
Old Tappan, NJ 07675-7037

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP116363 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1255067633

Grace Lee's National Provider Identifier is 1255067633, issued on Jul 27, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jul 27, 2022.