Individual
ANNA NICOLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3120 TELEGRAPH AVE STE 7D, BERKELEY, CA 94705-1965
(510) 900-9746
Mailing address
3120 TELEGRAPH AVE STE 7D, BERKELEY, CA 94705-1965
(510) 900-9746
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
90742
CA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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