Individual
AMY LEA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
402 W BROADWAY, SAN DIEGO, CA 92101-3542
(866) 478-3978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
93423
CA
Other
Enumeration date
02/29/2008
Last updated
06/24/2025
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