Individual
KIM LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 455-3879
(866) 719-3024
Mailing address
5439 N. 37TH STREET, MILWAUKEE, WI 53209
(414) 350-4690
(414) 871-9121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2206-226
WI
Other
Enumeration date
06/02/2014
Last updated
05/08/2015
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