DIEDRA LEE

SAN DIEGO, CA
NPI1184296964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  110576)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  110576)
103T00000X Psychologist
103TC1900X Psychologist, Counseling
103TS0200X Psychologist, School
251B00000X Case Management
Enumeration Date2021-07-12
Last Update Date2024-04-05
Business Address
DIEDRA LEE AMFT
1061 S 41ST ST APT 6
SAN DIEGO, CA 92113-3379
Phone number: 619-316-9301
Mailing Address
DIEDRA LEE AMFT
PO BOX 151112
SAN DIEGO, CA 92175-1112
Phone number: 619-895-7993