Individual
MS. AMANDA FAYE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9407 CUMBERLAND RD, NEW KENT, VA 23124-2029
(804) 966-2242
Mailing address
6825 LAKE RD, PRINCE GEORGE, VA 23875-4631
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701008352
VA
101YP2500X
Professional Counselor
Primary
—
VA
Other
Enumeration date
03/02/2020
Last updated
09/20/2023
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