Individual
HEATHER KEGGINS-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 W WACO DR STE 4, WACO, TX 76710-7111
(254) 265-2437
Mailing address
3584 HIGHWAY 77, CHILTON, TX 76632-3032
(254) 265-2437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TX
103TC0700X
Clinical Psychologist
000000000000
CA
106H00000X
Marriage & Family Therapist
—
TX
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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