Individual
SHERRY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
2221 63RD ST, SUITE 8, KENOSHA, WI 53143-4351
(414) 455-3879
Mailing address
2221 63RD ST, SUITE 8, KENOSHA, WI 53143-4351
(414) 455-3879
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6976
WI
Other
Enumeration date
11/27/2015
Last updated
10/17/2018
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