Provider Demographics
NPI:1962775742
Name:LEE, HELENA (LCPC)
Entity type:Individual
Prefix:MS
First Name:HELENA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1683 MONTEREY DR
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-7744
Mailing Address - Country:US
Mailing Address - Phone:847-606-3613
Mailing Address - Fax:
Practice Address - Street 1:1580 S MILWAUKEE AVE
Practice Address - Street 2:SUITE 512
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3764
Practice Address - Country:US
Practice Address - Phone:847-606-3613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008822101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1215327002OtherNPI 2