Individual
MR. STACY CORNEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
1119 WELLINGTON DR, DUNCANVILLE, TX 75137-2039
(469) 544-7981
Mailing address
1119 WELLINGTON DR, DUNCANVILLE, TX 75137-2039
(469) 544-7981
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
09116
TX
106H00000X
Marriage & Family Therapist
Primary
1720
TX
Other
Enumeration date
11/06/2006
Last updated
03/26/2010
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