Individual
MS. AVERY LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1 HERITAGE DR STE 261, SOUTHGATE, MI 48195-2574
(734) 778-0663
(734) 785-8328
Mailing address
24808 EAST RIVER ROAD, GROSSE ILE, MI 48138
(734) 642-8892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451019325
MI
101YP2500X
Professional Counselor
Primary
6451019325
MI
Other
Enumeration date
03/19/2022
Last updated
02/14/2023
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