Individual
MRS. AISHA NICOLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 GENESEE PL STE 205, WOODBRIDGE, VA 22192-8302
(571) 402-7499
Mailing address
6508 GREENVIEW LN, SPRINGFIELD, VA 22152-2918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017090
VA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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