Individual
DARA COBB LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV
Contact information
Practice address
16 OAK GROVE ST UNIT 4, MOUNT HOLLY, NC 28120-1655
(704) 612-6774
Mailing address
4114 HATHAWAY HILLS DR, CHARLOTTE, NC 28214-7671
(704) 615-6622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
12/07/2021
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