Individual
JENNIFER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 MARSHALL ST, SHREVEPORT, LA 71101-4139
(318) 426-8290
Mailing address
330 CROSSCREEK DR, BOSSIER CITY, LA 71111-2374
(318) 564-2371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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