Individual
KATHYRN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC, ICS
Contact information
Practice address
4155 COUNTY H, LAONA, WI 54541-9293
(715) 674-7656
Mailing address
386 EAGLE LAKE RD, PELICAN LAKE, WI 54463-9414
(608) 213-3885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/20/2012
Last updated
01/31/2025
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