Lee, Diedra

Lee, Diedra is an sole proprietor health care provider with primary practice located at 1061 S 41St St Apt 6 , San Diego CA 92113-3379. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / School, Agencies / Case Management. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Lee, Diedra can be contacted via phone (619) 316-9301.

Contact Information

Primary practice address
1061 S 41St St Apt 6 San Diego CA 92113-3379
Phone: (619) 316-9301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 110576 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 110576 California
Behavioral Health & Social Service Providers / School 103TS0200X California
Agencies / Case Management 251B00000X California

Profile Details

NPI number 1184296964
LBN Legal business name Lee, Diedra
Credentials AMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2021
Last updated Apr 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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