Individual
CLARENCE JAMES LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA (PLPC)
Contact information
Practice address
9378 OLIVE BLVD, SUITE 106, SAINT LOUIS, MO 63132-3222
(314) 567-4994
Mailing address
9378 OLIVE BLVD, SUITE 106, SAINT LOUIS, MO 63132-3222
(314) 567-4994
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011009539
MO
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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