Individual
MARYELLEN CASEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 513-3900
Mailing address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
08/19/2025
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