Individual
CLARISSA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CPCS
Contact information
Practice address
3805 BROOKWOOD BLVD, REX, GA 30273-2297
(229) 942-9339
Mailing address
3805 BROOKWOOD BLVD, REX, GA 30273-2297
(229) 942-9339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007637
GA
Other
Enumeration date
04/20/2017
Last updated
07/20/2025
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