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Individual

BLAKE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
181 CRAWFORD RD, NEWPORT, VT 05855-6405
(802) 334-6744
Mailing address
912 BLAKEVILLE RD, EDEN, VT 05652-7832

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0137074
VT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/29/2025
Last updated
03/02/2026
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