Jessica Lynn Lewis

NPI #1083043699 in Wagoner, Oklahoma

Provider Information

NPI Number: 1083043699
Entity Type: Individual
Name: Jessica Lynn Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 4, 2013
Last Updated: Nov 4, 2013

Practice Location

Address: 1002 SW 14TH PL
City: Wagoner
State: Oklahoma
ZIP Code: 74467-7744
Phone: (918) 687-5588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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