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Individual

ALEXIS ROSE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
2455 SUTHERLAND AVE, KNOXVILLE, TN 37919-2355
(865) 558-9040
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
4994
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q056455
TN
Enumeration date
01/18/2018
Last updated
04/15/2020
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