Individual
MRS. RACHEAL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
Mailing address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5984
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QSJZ02117768
BLUE CROSS BLUESHIELD
LA
Enumeration date
05/31/2018
Last updated
05/31/2018
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