NPI Profile for RONDA LEE in CHEYENNE, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Counselor |
101Y00000X |
| NPI # | 1518442896 |
|
| Status | Active | |
| Credentials | LPC 1871 | |
| Entity | Individual | |
| Enumeration date | 10/02/2018 | |
| Last updated | 06/08/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RONDA LEE
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