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Individual

STANLEY CARL LEWIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, APCC

Contact information

Practice address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 281-1650
Mailing address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 281-1650

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CA
101YP2500X
Professional Counselor
Primary
14799
CA

Other

Enumeration date
09/01/2016
Last updated
10/06/2025
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