Individual
MS. TAMARA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CCAC
Contact information
Practice address
3729 TEAYS VALLEY RD STE 100, HURRICANE, WV 25526-9705
(304) 760-6040
(304) 760-6042
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
04-306
WV
101YM0800X
Mental Health Counselor
1438
WV
101YP2500X
Professional Counselor
Primary
1438
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214697
—
OH
05
—
1326263393
—
WV
Enumeration date
04/16/2007
Last updated
05/12/2017
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