Sandra Lynn Lee , LCPC LICENSED CLINIC
Counselor • Charleston, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Lee has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Sandra Lee, LCPC LICENSED CLINIC was a registered Counselor practicing in Charleston, IL. Throughout an active medical career spanning 12 years, Sandra Lee provided care at the practice location at 1550 DOUGLAS until profile deactivation on 2019-05-28.
Practice Location & Contact Primary Location
1550 Douglas
Ste 101
Charleston, IL 61920
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Charleston, IL
Practicing in Charleston, IL (3897 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 28, 2019
NPI status registered as active in NPPES database
Registered at 1550 DOUGLAS, STE 101, CHARLESTON, IL 61920 (Tel: 2173456095)
Registered at 1550 DOUGLAS, STE 101, CHARLESTON, IL 61920 (Tel: 2173456095)
Recorded as SANDRA LEE, LCPC LICENSED CLINIC
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1550 Douglas, Ste 101
Charleston, IL 61920
Phone: 2173456095
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