Individual
JORDAN ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
1701 W NORTHWEST HWY STE 100, GRAPEVINE, TX 76051-8145
(817) 221-8203
Mailing address
1400 N MAIN ST APT 1235, KELLER, TX 76248-3950
(817) 372-0523
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205553
TX
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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