Individual
KENNY E LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 DOWNING DR, DANVILLE, VA 24541-5208
(434) 421-0034
Mailing address
625 PINEY FOREST RD, DANVILLE, VA 24540-2867
(434) 549-5215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T60242223
VA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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