Individual provider · Type 1 NPI

Kevin P. Lee, L.M.S.W.

Mental Health Counselor · Idaho Falls, ID

NPI number 1477790053 Active

Practice location

540 3rd St
Idaho Falls, ID 83401-3953

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW-25561 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1477790053

Kevin P. Lee, L.M.S.W.'s National Provider Identifier is 1477790053, issued on Jan 19, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 19, 2009.