Individual
MR. JASON LEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MBC, LMFT, MPA
Contact information
Practice address
17 E MAPLE ST, SPARTA, TN 38583-2270
(931) 252-3786
Mailing address
2496 WILDCAT RD, SPARTA, TN 38583-6588
(931) 252-3786
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2016
TN
Other
Enumeration date
05/26/2017
Last updated
08/19/2025
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