Individual
AJAY S LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3010 COBBLEWOOD LN EAST, JACKSONVILLE, FL 32225
(904) 476-3831
Mailing address
3010 COBBLEWOOD LN EAST, JACKSONVILLE, FL 32225
(904) 476-3831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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