Individual
ALISSA THEO LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3621 SPRUCE KEY LN, SLIDELL, LA 70461-6115
(617) 639-7912
Mailing address
3621 SPRUCE KEY LN, SLIDELL, LA 70461-6115
(617) 639-7912
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF6559
ME
Other
Enumeration date
07/18/2017
Last updated
08/14/2024
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