| NPI | 1083460190 |
|---|---|
| Professional Name | GARY P LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-29798) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |