Individual
OLIVIA MICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
6330 N CENTER DRIVE, BUILDING 13 SUITE 200, NORFOLK, VA 23502
(757) 233-0003
(757) 233-1669
Mailing address
1607 WEBER AVE APT 3, CHESAPEAKE, VA 23325-4228
(757) 793-1633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012882
VA
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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