Individual
MR. JONATHAN A. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS, LPC, CAC, CCS
Contact information
Practice address
85 E SPRING AVE, ARDMORE, PA 19003-2143
(610) 316-2887
(215) 438-4159
Mailing address
PO BOX 264, NORRISTOWN, PA 19404-0264
(610) 316-2887
(215) 438-4159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000948
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316154768
—
PA
Enumeration date
05/16/2007
Last updated
03/03/2016
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