Individual
CAMILLE A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 CRAIN HWY, WALDORF, MD 20601-3164
(301) 276-1151
(301) 923-1329
Mailing address
2255 CRAIN HWY STE 105, WALDORF, MD 20601-3186
(301) 276-1151
(301) 923-1329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC8097
MD
101YM0800X
Mental Health Counselor
Primary
LC8097
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999013501
—
MD
Enumeration date
06/17/2016
Last updated
10/30/2025
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