# MS. TAMARA LEWIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326263393
- **Gender:** F
- **Credential:** LPC, CCAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 04-306 | WV | — |
| 101YM0800X | Mental Health Counselor | 1438 | WV | — |
| 101YP2500X | Professional Counselor | 1438 | WV | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 05/12/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0214697 | — | OH |
| 05 | — | 1326263393 | — | WV |