| Kerry Lee Lcsw Llc | |
|
8 W Main St Ste 3-11 Niantic CT 06357-2332 | |
| (860) 867-0311 | |
| Not Available |
| Full Name | Kerry Lee Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 W Main St Ste 3-11, Niantic, Connecticut |
| Authorized Official Name and Position | Kerry Lee (OWNER/OPERATOR) |
| Authorized Official Contact | 8608670311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Lee Lcsw Llc Po Box 183 Scotland CT 06264-0183 Ph: (860) 867-0311 | Kerry Lee Lcsw Llc 8 W Main St Ste 3-11 Niantic CT 06357-2332 Ph: (860) 867-0311 |
| NPI Number | 1548070428 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548070428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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