Individual
MRS. JERI DICKINSON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7489 RIGHT FLANK RD STE 330, MECHANICSVILLE, VA 23116-3845
(804) 398-8401
(047) 898-8818
Mailing address
8426 LEE DAVIS RD, MECHANICSVILLE, VA 23116-6574
(804) 398-8401
(804) 789-8881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701002806
VA
101YP2500X
Professional Counselor
Primary
0701002806
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902816341
NPI
VA
05
—
5409195
—
VA
Enumeration date
08/08/2006
Last updated
10/25/2024
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