Most Relevant Information
Provider Data
| NPI Number: | 1003236746 |
| Provider Name: | STACY LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/21/2014 |
| Last Updated: | 04/21/2014 |
Provider Practice Location
584 KENTUCKY AVE
WOODLAND
CA
956952779
Practice Location Phone/Fax
| Phone: | 5306613213 |
| Fax: |
Provider Mailing Location
584 KENTUCKY AVE
WOODLAND
CA
956952779
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |