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Provider Information for 1780269183


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KARLA E LEWIS LPC, NCC


Sex: Female

NPI: 1780269183
Last Updated: 2021-03-17
Certification Date: 2021-03-17

Details

NameValue
NPI1780269183
Enumeration Date2021-03-17
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 600 JACKSON ST
FREDERICKSBURG, VA 22401-5719
United States

Phone: 540-373-3223 | Fax:540-993-1174
 
Primary Practice Address 600 JACKSON ST
FREDERICKSBURG, VA 22401-5719
United States

Phone: 540-373-3223 | Fax:540-993-1174
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalVA0701010265