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Individual

CHRISTINE JOAN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, NCC, CCMHC

Contact information

Practice address
3501 W VINE ST, SUITE 340, KISSIMMEE, FL 34741-4643
(321) 746-0486
(321) 746-0486
Mailing address
3501 W VINE ST, SUITE 340, KISSIMMEE, FL 34741-4643
(321) 746-0486
(321) 746-0486

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11032
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
802-013-500
CFARS RATER ID
01
805-007-250
FARS RATER ID
FL
Enumeration date
01/07/2009
Last updated
12/17/2012
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