Individual ProviderKevin Patrick LeeMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address12625 Hesperia Road, Victorville, CA 92395(760) 955-1777PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Patrick Lee does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1447407713Provider TypeIndividualFull NameLee, Kevin PatrickGenderMaleSole ProprietorNoEnumeration Date8/19/2008Last Updated8/19/2008Contact InformationPractice LocationPractice Address12625 Hesperia Road, Victorville, CA 92395Phone(760) 955-1777FaxUnlisted FaxMailing LocationMailing Address12625 Hesperia Road, Victorville, CA 92395Phone(760) 955-1777FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense42218California