Individual
LORA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, AT
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 269-0346
Mailing address
1386 E 43RD ST APT 4, CLEVELAND, OH 44103-1143
(216) 269-0346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OH
101YP2500X
Professional Counselor
Primary
—
OH
221700000X
Art Therapist
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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