Individual
TASHA L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LPC
Contact information
Practice address
5315 WALL ST, MADISON, WI 53718-7937
(507) 535-5703
Mailing address
5315 WALL ST STE 290, MADISON, WI 53718-7965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4116
MN
101YP2500X
Professional Counselor
Primary
11054-125
WI
Other
Enumeration date
11/07/2023
Last updated
10/07/2024
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