Individual
KIMBERLEY G LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CRC, LPCC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2668
AL
101YP2500X
Professional Counselor
Primary
E1300232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
09/10/2008
Last updated
08/03/2022
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