Provider Demographics
NPI:1588159305
Name:LEE, RAQUEL ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:RAQUEL
Middle Name:ELIZABETH
Last Name:LEE
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:SOUTHERN AZ VA HEALTH CARE SYSTEMS
Mailing Address - Street 2:3601 S. 6TH AV. 3-218-HBPC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723
Mailing Address - Country:US
Mailing Address - Phone:707-599-9491
Mailing Address - Fax:
Practice Address - Street 1:SOUTHERN AZ VA HEALTH CARE SYSTEMS
Practice Address - Street 2:3601 S. 6TH AVE 3-218-HBPC
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723
Practice Address - Country:US
Practice Address - Phone:707-268-5929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZLCSW-173301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical