Individual
MR. IVAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8211 GOODWOOD BLVD, SUITE A1, BATON ROUGE, LA 70806
(225) 421-1921
Mailing address
8211 GOODWOOD BLVD STE A1, BATON ROUGE, LA 70806-7740
(225) 421-1921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
05/14/2018
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