Cordellero Dashun Lee

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Saint Vincents Dr
San Rafael, CA 94903-1504

Phone

(415) 507-2000

NPI assigned

Dec 12, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1033540356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 GUERNEVILLE RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037220",
            "telephone_number": "707-516-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENTS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031504",
            "telephone_number": "415-507-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CORDELLERO",
        "middle_name": "DASHUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leavelight, LLC
• Kristen Lebacqz, MFT
• Amy Lee, PSY.D.
• Amy Yumin Cheng Lee, DC
• Angela Maria Lee, PHARMD
• Edmond M. Lee, PHARM D
• Gary Lee, MD
• Jennie Lee, PHARMD
• Joseph H. Lee, MD
• Katherine Hope Lee, M.ED

• Mental Health Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.