Individual
MR. LARRY WAYNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
94 E PAGES LN # A, CENTERVILLE, UT 84014-2216
(801) 294-0578
Mailing address
155 N FORT LN APT D, LAYTON, UT 84041-3843
(801) 593-0616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5595450-6004
UT
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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