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Individual

MR. ROBERT ELLIOTT LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
THERAPIST II

Contact information

Practice address
750 MORRIS RD SE, LOS LUNAS, NM 87031-5242
(505) 866-2318
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0138
NM
106H00000X
Marriage & Family Therapist
Primary
0138
NM

Other

Enumeration date
08/25/2008
Last updated
11/13/2015
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