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Individual
MR. TOMMY LEWIS POOL II
Active
Individual
MR. TOMMY LEWIS POOL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10857
TX
101YP2500X
Professional Counselor
Primary
65821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10857
LCDC
TX
01
—
12285614
CAQH
TX
05
—
2813990
—
TX
01
—
65821
STATE OF TEXAS
TX
Enumeration date
08/10/2009
Last updated
08/02/2023
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