Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ella Rose Nmn Lee, RADT

Individual provider Peer Specialist · NPI 1568192953

Ella Rose Nmn Lee, RADT is a Peer Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3594 4th Ave
San Diego, CA 92103-4989
Phone: (619) 296-1151
Fax: (619) 296-6218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1465840422 (CA)
Peer Specialist Taxonomy 175T00000X · Licence R1465840422 (CA)

Record details

NPI number1568192953
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorNo
NPI enumeratedJune 16, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

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