Individual
GAY ADELE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC 6339
Contact information
Practice address
1014 MAIN ST, LEWISTON, ID 83501-1842
(208) 743-8101
(208) 746-7402
Mailing address
1014 MAIN ST, LEWISTON, ID 83501-1842
(208) 743-8101
(208) 746-7402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6339
ID
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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