Lee, Kevin E

Lee, Kevin E is an sole proprietor health care provider with primary practice located at 375 S Main St Ste 107 , Pomona CA 91766-1639. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Lee, Kevin E can be contacted via phone (909) 868-0300.

Contact Information

Primary practice address
375 S Main St Ste 107 Pomona CA 91766-1639
Phone: (909) 868-0300
Fax: (909) 947-9598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MF169650 California

Profile Details

NPI number 1295880961
LBN Legal business name Lee, Kevin E
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295880961 NPPES
California MEDICAID MF1696500

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