JASON BENNELL LEE

RIVERSIDE, CA
NPI1073833182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-06-11
Last Update Date2010-06-11
Business Address
Mr. JASON BENNELL LEE
4560 CIRCLE LAZY J RD
RIVERSIDE, CA 92501-2043
Phone number: 951-682-1257
Mailing Address
Mr. JASON BENNELL LEE
4560 CIRCLE LAZY J RD
RIVERSIDE, CA 92501-2043
Phone number: 951-682-1257
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