Christine Margaret Lee, LBSW/QMRP/QMHP

Individual provider Active NPI Social Worker · Houghton Lake, MI

NPI 1659619880 · NPPES record last updated Jan 23, 2013

Key facts

NPI
1659619880
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
6802086137 (MI)
Practice address
2715 S Townline Rd
Houghton Lake, MI 48629-9294
Phone
(989) 366-1102
Fax
(989) 366-9420
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6802086137MIMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802086137 MI Yes

Addresses

Primary practice location

2715 S Townline Rd
Houghton Lake, MI 48629-9294

Mailing address

2715 S Townline Rd
Houghton Lake, MI 48629-9294
Phone (989) 366-1102

Other providers in Houghton Lake, MI

All providers in Houghton Lake, MI · Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.