Individual
KALLAN PARKER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 W UNIVERSITY PKWY, JACKSON, TN 38305-1624
(731) 300-2619
Mailing address
168 W UNIVERSITY PKWY STE C, JACKSON, TN 38305-1624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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