Individual
JOHN EDWARD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11260 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 84095-5119
(801) 298-2000
Mailing address
6766 W ULYSSES PL, WEST JORDAN, UT 84081-4217
(801) 870-8306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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