Individual
MR. JUSTIN PAUL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2820 JEFFERSON ST, PADUCAH, KY 42001-4170
(270) 442-5738
(270) 442-3172
Mailing address
2820 JEFFERSON ST, PADUCAH, KY 42001-4170
(270) 442-5738
(270) 442-3172
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
09-030
KY
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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