Individual
RICHARD B LEWIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 662-7081
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 662-7081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1744
ME
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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