Individual
WENDY LENORA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3200 MACCORKLE AVE SE FL 5, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1041
Mailing address
3200 MACCORKLE AVE SE FL 5, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
295
WV
101YP2500X
Professional Counselor
295
WV
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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