Individual
KAYLA MICHELE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
814 RADFORD BLVD, ALBANY, GA 31704-9408
(229) 778-1538
Mailing address
137 TWELVE OAKS CT, LEESBURG, GA 31763-3972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC012300
GA
Other
Enumeration date
10/07/2021
Last updated
01/25/2023
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