Individual
JA'NAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1927
(267) 861-3685
Mailing address
630 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1927
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015001
PA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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