Individual
MRS. LAURA JEAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1000 HIGH ST, SUITE D, WORTHINGTON, OH 43085-4044
(614) 505-6874
(614) 505-6876
Mailing address
1000 HIGH ST, SUITE D, WORTHINGTON, OH 43085-4044
(614) 505-6874
(614) 505-6876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1000102
OH
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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