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Individual

ANGEL LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1211 W VINE ST, OPELOUSAS, LA 70570-3337
(337) 678-3201
Mailing address
1211 W VINE ST, OPELOUSAS, LA 70570-3337

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/17/2017
Last updated
11/20/2024
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