Individual
MS. CHRISTINA ROSE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA, LCASA, NCC
Contact information
Practice address
2457 GUM BRANCH RD STE 800, JACKSONVILLE, NC 28540-4008
(910) 238-2774
Mailing address
2457 GUM BRANCH RD STE 800, JACKSONVILLE, NC 28540-4008
(910) 238-2774
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1650445
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28114
NC
101YM0800X
Mental Health Counselor
Primary
A17689
NC
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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