Individual
MS. MARY LOUISE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
3200 CONCORDIA AVE, MONROE, LA 71201-5113
(318) 362-5188
Mailing address
122 MOHAWK CIR, WEST MONROE, LA 71291-8142
(318) 396-8112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
831
LA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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