Individual
JEAN C LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
928 N YORK ST, STE. 34, MUSKOGEE, OK 74403-3123
(918) 682-6470
(918) 682-3459
Mailing address
928 N YORK ST, STE. 34, MUSKOGEE, OK 74403-3123
(918) 682-6470
(918) 682-3459
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1721
OK
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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