Lee Skully, LISW, LICDC

NPI #1033499603 in Mentor, Ohio

Provider Information

NPI Number: 1033499603
Entity Type: Individual
Name: Lee Skully, LISW, LICDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LISW, LICDC
Enumeration Date: Aug 26, 2011
Last Updated: Aug 26, 2011

Practice Location

Address: 9083 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-6462
Phone: (440) 205-2674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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