Raheem Lee

NPI 1376893727 · on the registry since 2012

Practice

Address: 1212 N. California Street
Stockton, CA 95202
Phone: (209) 468-8723
Organisation at this address: Sasha Jackson, Llc
County Of San Joaquin
Larisa Kouperschmidt Md Llc
Bhs Children And Youth Serv
San Joaquin County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 846

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California