Individual
MR. ALPHONSO LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, NCC
Contact information
Practice address
14460 OLD MILL RD, SUITE 201, UPPER MARLBORO, MD 20772-3092
(301) 237-2638
(301) 574-0063
Mailing address
14201 CHRISTIAN ST, UPPER MARLBORO, MD 20772-6815
(301) 237-2638
(301) 574-0063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3460
MD
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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