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Individual
JESSICA LYNN BURGESS-LEWIS
Active
Individual
JESSICA LYNN BURGESS-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110016084594
—
WA
Enumeration date
02/08/2018
Last updated
06/16/2020
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