Individual provider · Type 1 NPI

Jisun Lee

Mental Health Counselor · San Leandro, CA

NPI number 1417173121 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1417173121

Jisun Lee's National Provider Identifier is 1417173121, issued on Apr 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Jul 8, 2007.