Individual
KAYLA S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCA
Contact information
Practice address
205 CHAMPION WAY STE 11, GEORGETOWN, KY 40324-8862
(502) 603-0020
Mailing address
128 COLLINS PATH APT 4, GEORGETOWN, KY 40324-8477
(662) 207-5176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
285344
KY
Other
Enumeration date
04/24/2023
Last updated
05/22/2023
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