Individual
LEAONA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 DAVIS ST, LEBANON, MO 65536-2423
(706) 718-1420
Mailing address
238 S JEFFERSON AVE STE B, LEBANON, MO 65536-3200
(706) 718-1420
(417) 319-6218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022020205
MO
Other
Enumeration date
12/09/2011
Last updated
01/21/2024
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