Individual
MRS. REGINA LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1662 HIGHWAY 192 E, LONDON, KY 40741-3114
(606) 389-5370
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
273631
KY
101YM0800X
Mental Health Counselor
Primary
273631
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100464070
—
KY
Enumeration date
09/19/2012
Last updated
02/28/2023
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