Jison Ellen Lee in Minneapolis - Mental Health
Jison Ellen Lee - NPI 1417008145
Jison Ellen Lee is a Mental Health in Minneapolis, Minnesota. Jison Ellen Lee practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jison Ellen Lee is 1417008145. The last update date is 2009-05-28.
Jison Ellen Lee's current location address is 2550 Blaisdell Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6125329100 and fax number 6128135399. The mailing address for Jison Ellen Lee is 2550 Blaisdell Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jison Ellen Lee |
|---|---|
| Address | 2550 Blaisdell Ave S, Minneapolis, Minnesota |
| Phone Number | 6125329100 |
| Fax Number | 6128135399 |
| Sole Proprietor | Y |
| Credentials | L.P.C. |
NPI Number Detail
| NPI Number | 1417008145 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2009-05-28 |
Provider Mailing Address Detail
| Address | 2550 Blaisdell Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55404 |
| Phone Number | 6125329100 |
| Fax Number | 6128135399 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LPC00683 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P1-089-7373-0 | MI | BCBS PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Jison Ellen Lee by the Centers for Medicare & Medicaid Services (CMS)?
The Jison Ellen Lee has been assigned the NPI (National Provider Identifier) 1417008145. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jison Ellen Lee?
The Jison Ellen Lee is physically situated at 2550 Blaisdell Ave S, in the city of Minneapolis, state of MN, with the postal code 55404.
What is the Jison Ellen Lee's specialty and taxonomy code?
The Jison Ellen Lee's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417008145 to Jison Ellen Lee?
The Jison Ellen Lee received its 1417008145 assignment from the Centers for Medicare & Medicaid Services on 2007-01-16.
As of what date was the information regarding Jison Ellen Lee, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jison Ellen Lee, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-05-28.
NPI Number: 1215930425
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