Lee, Jison Ellen

Lee, Jison Ellen is an sole proprietor health care provider with primary practice located at 2550 Blaisdell Ave S , Minneapolis MN 55404. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lee, Jison Ellen can be contacted via phone (612) 532-9100.

Contact Information

Primary practice address
2550 Blaisdell Ave S Minneapolis MN 55404
Phone: (612) 532-9100
Fax: (612) 813-5399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC00683 Minnesota

Profile Details

NPI number 1417008145
LBN Legal business name Lee, Jison Ellen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated May 28th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417008145 NPPES
Michigan Other P1-089-7373-0 BCBS PIN

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