Individual
DANIELLE DENISE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 S JONES BLVD, LAS VEGAS, NV 89146-1231
(909) 414-9444
Mailing address
1237 W ALEXANDER RD APT 113, NORTH LAS VEGAS, NV 89032-9088
(909) 414-9444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
12/08/2021
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