Individual
MRS. AYANA FRITZ LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
205 DABNEY DR, HENDERSON, NC 27536-4033
(252) 767-6696
Mailing address
105 W PASTURE DR, KITTRELL, NC 27544-9519
(252) 767-6696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A20433
NC
101YM0800X
Mental Health Counselor
Primary
A20433
NC
101YP1600X
Pastoral Counselor
A20433
NC
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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