Individual
DUSTIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
700 REGENT ST STE 300, MADISON, WI 53715-2634
(608) 567-4465
Mailing address
700 REGENT ST STE 300, MADISON, WI 53715-2634
(608) 567-4465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7977226
WI
Other
Enumeration date
06/21/2024
Last updated
07/11/2024
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