Individual provider · Type 1 NPI

Timothy Nathan Lewis

Professional Counselor · Rockford, IL

NPI number 1629673314 Active

Practice location

695 N Perryville Rd Ste 4
Rockford, IL 61107-6225

Call (779) 368-0060 Map

Fax (815) 977-4892

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X178016413 (IL)
Professional Counselor Primary 101YP2500X180015275 (IL)

Professional Counselor: Definition to come...

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About NPI 1629673314

Timothy Nathan Lewis's National Provider Identifier is 1629673314, issued on Dec 1, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on May 23, 2023.