Individual provider · Type 1 NPI

Shaun B. Lewis, LPC

Professional Counselor · Marietta, GA

NPI number 1346638673 Active

Practice location

2759 Delk Rd SE, Suite 1400
Marietta, GA 30067-8847

Mailing address

2396 Pendergrass Ln
Ellenwood, GA 30294-6249

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC007441 (GA)

Professional Counselor: Definition to come...

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About NPI 1346638673

Shaun B. Lewis, LPC's National Provider Identifier is 1346638673, issued on Jan 9, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marietta, GA. The record was last updated on Jan 9, 2015.