Provider Demographics
NPI:1437525342
Name:LEE, EFFIE (LCPC/LPC)
Entity type:Individual
Prefix:
First Name:EFFIE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LCPC/LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 MEDICAL CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-3707
Mailing Address - Country:US
Mailing Address - Phone:301-276-2606
Mailing Address - Fax:240-823-9331
Practice Address - Street 1:9500 MEDICAL CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-3707
Practice Address - Country:US
Practice Address - Phone:301-276-2606
Practice Address - Fax:240-823-9331
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14680101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health