Provider Demographics
NPI:1407027246
Name:LEE, NARA
Entity type:Individual
Prefix:MISS
First Name:NARA
Middle Name:
Last Name:LEE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 CONNECTICUT AVE NW APT 910
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-4562
Mailing Address - Country:US
Mailing Address - Phone:253-353-4088
Mailing Address - Fax:
Practice Address - Street 1:3801 CONNECTICUT AVE NW APT 910
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-4562
Practice Address - Country:US
Practice Address - Phone:253-353-4088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0850551041C0700X
390200000X
DCLC500790801041C0700X
MD326101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program