Organization
CODY S LEWIS COUNSELING LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY S LEWIS LCSW (OWNER/THERAPIST)
(217) 402-4877
Entity
Organization
Contact information
Practice address
100 N CHESTNUT ST STE 244, CHAMPAIGN, IL 61820-4872
(217) 402-4877
Mailing address
100 N CHESTNUT ST STE 244, CHAMPAIGN, IL 61820-4872
(217) 402-4877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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