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Individual

REBECCA LYNN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2147 110TH AVE, DIAGONAL, IA 50845-8850
(641) 316-3134
Mailing address
2147 110TH AVE, DIAGONAL, IA 50845-8850
(641) 316-3134

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001717
IA
101YM0800X
Mental Health Counselor
IA

Other

Enumeration date
10/01/2013
Last updated
12/01/2024
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