Individual
MR. JEFFERSON D LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.DIV
Contact information
Practice address
31 VALKYRIE CIR, COLUMBIA, SC 29229-3390
(803) 730-3746
(803) 736-4619
Mailing address
31 VALKYRIE CIR, COLUMBIA, SC 29229-3390
(803) 730-3746
(803) 736-4619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4616
SC
Other
Enumeration date
06/13/2007
Last updated
01/30/2015
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