Individual
MRS. KIMBERLY DAWN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1634 LONDON BLVD, PORTSMOUTH, VA 23704-2137
(757) 393-7200
(757) 393-7219
Mailing address
1634 LONDON BLVD, PORTSMOUTH, VA 23704-2137
(757) 393-7200
(757) 393-7219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002807
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701002807
LPC
VA
Enumeration date
09/25/2006
Last updated
07/08/2007
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