Individual
STEPHON JORDAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8700 E VIA DE VENTURA STE 280, SCOTTSDALE, AZ 85258-4541
(816) 522-4458
Mailing address
1106 E WEBER DR UNIT 1001, TEMPE, AZ 85288-0916
(816) 522-4458
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2021015291
MO
101YP2500X
Professional Counselor
Primary
LPC-23657
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021015291
—
MO
Enumeration date
05/03/2021
Last updated
04/14/2025
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