Individual
KRISTEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3301 BELAIR RD STE 2, BALTIMORE, MD 21213-1257
(443) 873-7193
Mailing address
3301 BELAIR RD STE 2, BALTIMORE, MD 21213-1257
(443) 873-7193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10647
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGP10647
STATE OF MARYLAND LICENSE
MD
Enumeration date
01/22/2021
Last updated
07/17/2023
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