Individual
JOLI MICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADAC
Contact information
Practice address
465 MEDICAL CENTER PARKWAY, CLINTON, AR 72031-1529
(501) 745-7888
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(870) 448-5733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P2102157
AR
101YP2500X
Professional Counselor
Primary
2019004811
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
07/10/2007
Last updated
11/25/2025
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