Individual provider · Type 1 NPI
Jerome Lavis, LPC-S, LMFT, LCDC
Professional Counselor · Fort Stewart, GA
NPI number
1356464267
Active
Practice location
1051 Harmon Ave
Fort Stewart, GA 31314
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2630 (TX) |
| Professional Counselor Primary | 101YP2500X | 11790 (TX) |
Professional Counselor: Definition to come...
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About NPI 1356464267
Jerome Lavis, LPC-S, LMFT, LCDC's National Provider Identifier is 1356464267, issued on Apr 6, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Stewart, GA. The record was last updated on Nov 9, 2022.