Individual
MR. THOMAS M. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
147 MAIN STREET, TAZEWELL, VA 24651
(276) 970-2505
Mailing address
196 HILLTOP AVENUE, NORTH TAZEWELL, VA 24630
(276) 970-2505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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