Ella Marie Lee, LCPC

NPI #1053975532 in Peoria, Illinois

Provider Information

NPI Number
1053975532
Entity Type
Individual
Name
Ella Marie Lee, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Apr 30, 2019
Last Updated
Apr 30, 2019

Practice Location

Address
530 NE GLEN OAK AVE
City
Peoria
ZIP Code
61637-0001
Phone
(309) 308-2030

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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