Individual
ALISIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, MCAP, LPC
Contact information
Practice address
900 CESERY BLVD STE 109, JACKSONVILLE, FL 32211
(904) 601-5642
(928) 492-8009
Mailing address
900 CESERY BLVD STE 109, JACKSONVILLE, FL 32211-5634
(904) 601-5642
(928) 492-8009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-010302-2015
FL
101YM0800X
Mental Health Counselor
Primary
MH13036
FL
101YP2500X
Professional Counselor
LPC009537
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020121000
—
FL
Enumeration date
01/30/2015
Last updated
07/18/2019
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