Individual
BRANDYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2460 W 3RD ST STE 230, SANTA ROSA, CA 95401-6411
(707) 540-2648
Mailing address
100 E ST STE 205, SANTA ROSA, CA 95404-4606
(707) 540-2648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
420
CA
Other
Enumeration date
02/26/2009
Last updated
10/05/2017
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