Lee, Mireong

Lee, Mireong is an individual health care provider with primary practice located at 701 W Broad St Ste 305 , Falls Church VA 22046-3220. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Lee, Mireong can be contacted via phone (703) 533-3302.

Contact Information

Primary practice address
701 W Broad St Ste 305 Falls Church VA 22046-3220
Phone: (703) 533-3302
Fax: (703) 237-2083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710101496 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002805 Virginia

Profile Details

NPI number 1538266671
LBN Legal business name Lee, Mireong
Credentials LPC, LSATP, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1538266671 NPPES
Virginia Other 10414712 CAQH
Virginia Other 7950362 CAQH
Virginia Other 292774 CAQH
Virginia Other 89130011 CAQH
Virginia Other 266613 CAQH
Virginia Other 288328 CAQH
Virginia Other 116161 CAQH

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