Danielle Lee

Individual provider Active NPI Counselor · Metropolis, IL

NPI 1154828044 · NPPES record last updated Apr 9, 2018

Key facts

NPI
1154828044
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
206 W 5TH St
Metropolis, IL 62960-1810
Phone
(618) 524-9368
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

206 W 5TH St
Metropolis, IL 62960-1810

Mailing address

206 W 5TH St
Metropolis, IL 62960-1810
Phone (618) 524-9368

Other providers in Metropolis, IL

All providers in Metropolis, IL · Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.