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Individual

CARMEN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
P.O. BOX 1456, JACKSON, MS 39215-1456
(601) 724-4474
Mailing address
P.O. BOX 1456, JACKSON, MS 39215-1456
(601) 724-4474

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
651211
MS

Other

Enumeration date
12/31/2014
Last updated
09/08/2025
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