Gay Adele Lewis, LPC 6339

NPI #1740724582 in Lewiston, Idaho

Provider Information

NPI Number
1740724582
Entity Type
Individual
Name
Gay Adele Lewis, LPC 6339
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC 6339
Enumeration Date
Dec 13, 2016
Last Updated
Dec 13, 2016

Practice Location

Address
1014 MAIN ST
State
Idaho
ZIP Code
83501-1842
Phone
(208) 743-8101

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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