Individual
HOLLY GAYLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MONTEBELLO RD STE 116, PUEBLO, CO 81001-1366
(719) 423-1500
(719) 542-9269
Mailing address
41 MONTEBELLO RD STE 202, PUEBLO, CO 81001-1366
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001569
CO
101YP2500X
Professional Counselor
Primary
LPC.0004018
CO
Other
Enumeration date
02/06/2018
Last updated
02/15/2024
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