CODY L LEE

ROSEBURG, OR
NPI1871107425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-09-01
Last Update Date2026-01-08
Business Address
CODY L LEE
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-672-2691
Mailing Address
CODY L LEE
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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