JEANINE CONTRYELLE LEE


Address: 17328 Ohio St, Detroit, MI 48221-2575
Phone: 3134436322

JEANINE CONTRYELLE LEE (NPI# 1013314129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013314129
Entity Type Individual
Full Name JEANINE CONTRYELLE LEE
Practice Address 17328 Ohio St
Detroit
MI 48221-2575
Mailing Address 9315 Telegraph Rd
Redford
MI 48239-1260
Practice Telephone 3134436322
Practice Fax Number 3134504040
Mailing Telephone 3134436322
Mailing Fax Number 3134504040
Enumeration Date 2014-12-04
Last Update Date 2014-12-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6401014414 MI Behavioral Health & Social Service Providers

Office Location

Street Address 17328 OHIO ST
City DETROIT
State MI
Zip Code 48221-2575

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City DETROIT
Zip Code 48221

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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