Individual
KENDRA DEANNA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
755 COMMERCE DR, DECATUR, GA 30030-2627
(678) 855-7363
Mailing address
755 COMMERCE DR, DECATUR, GA 30030-2627
(678) 855-7363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010367
GA
101YP2500X
Professional Counselor
010367
GA
Other
Enumeration date
04/26/2019
Last updated
12/20/2021
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