Provider Demographics
NPI:1053616680
Name:LEE, CHYRISSEE K (LMFT)
Entity type:Individual
Prefix:
First Name:CHYRISSEE
Middle Name:K
Last Name:LEE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6513
Mailing Address - Country:US
Mailing Address - Phone:916-437-4600
Mailing Address - Fax:916-437-4600
Practice Address - Street 1:5150 FAIR OAKS BLVD
Practice Address - Street 2:#101-244
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-5758
Practice Address - Country:US
Practice Address - Phone:916-437-4600
Practice Address - Fax:916-437-4600
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51562106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist