Provider Demographics
NPI:1366337875
Name:LEE, SHU LIN (LPCC)
Entity type:Individual
Prefix:
First Name:SHU
Middle Name:LIN
Last Name:LEE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13456 VIA VARRA UNIT 314
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-9024
Mailing Address - Country:US
Mailing Address - Phone:303-332-1013
Mailing Address - Fax:
Practice Address - Street 1:3303 W 144TH AVE UNIT 204
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-9601
Practice Address - Country:US
Practice Address - Phone:720-709-2810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0023201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health