Individual
MRS. ANGELA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 581-7020
(253) 584-7852
Mailing address
8683 BOSTON ST, FORT LEWIS, WA 98433-1338
(253) 581-0141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00051463
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC00051463
STATE REGISTRATION NUMBER
WA
Enumeration date
12/12/2007
Last updated
12/12/2007
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