Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LPC1488 | AZ |
N | 225C00000X | Rehabilitation Counselor | CRC9817 | IL |
NPI | 1275851461 |
---|---|
Provider Name | Anne P. Lewis |
First Address | Oro Valley, AZ 85742-8688 |
Second Address | Oro Valley, AZ 85742-8688 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 12/05/2010 |