Individual
MS. M. JEAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, RN
Contact information
Practice address
5 INDIAN HILLS ESTATES BLACKHALL MT ROAD, ENCAMPMENT, WY 82325-0163
(307) 640-0769
Mailing address
5 INDIAN HILLS ESTATES, ENCAMPMENT, WY 82325-0163
(307) 640-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-057
WY
163W00000X
Registered Nurse
9164
WY
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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