Individual
JAY ROBERT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPC, LPC, NCC
Contact information
Practice address
2540 FLOWOOD DR, FLOWOOD, MS 39232-9362
(601) 939-5993
Mailing address
2540 FLOWOOD DR, FLOWOOD, MS 39232-9362
(601) 939-5993
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1988
MS
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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