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Individual

NICHOLAS LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3425 SGT SANDERS ST, MISSOULA, MT 59804-7224
(760) 305-3526
Mailing address
3425 SGT SANDERS ST, MISSOULA, MT 59804-7224
(760) 305-3526

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BBHPCLCLIC74443
MT
101YM0800X
Mental Health Counselor
Primary
BBHLCPCLIC86767
MT
101YM0800X
Mental Health Counselor
Primary
BBHPCLCLIC74443
MT
101YM0800X
Mental Health Counselor

Other

Enumeration date
11/13/2024
Last updated
04/22/2026
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