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Individual

ELLICE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16 FRANCIS ST # 24071, ANNAPOLIS, MD 21401-1772
(757) 828-7337
Mailing address
16 FRANCIS ST # 24071, ANNAPOLIS, MD 21401-1772
(856) 539-4790

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
01465
RI
101Y00000X
Counselor
0701011952
VA
101Y00000X
Counselor
180017495
IL
101Y00000X
Counselor
37PC01184800
NJ
101Y00000X
Counselor
5887
CT
101Y00000X
Counselor
92598
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
92598
TX
101YM0800X
Mental Health Counselor
92598
TX
101YP1600X
Pastoral Counselor
92598
TX
101YP2500X
Professional Counselor
Primary
92598
TX
101YS0200X
School Counselor
92598
TX
171000000X
Military Health Care Provider
171400000X
Health & Wellness Coach
374K00000X
Religious Nonmedical Practitioner

Other

Enumeration date
01/08/2025
Last updated
10/24/2025
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