Individual provider · Type 1 NPI
Edna Porter Lewis, LMFT
Mental Health Counselor · San Jose, CA
NPI number
1780187666
Active
Practice location
4078 Lawther Ct
San Jose, CA 95135-1021
Mailing address
160 E Virginia St
San Jose, CA 95112-5857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 43960 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1780187666
Edna Porter Lewis, LMFT's National Provider Identifier is 1780187666, issued on Mar 16, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Mar 16, 2018.