Individual provider · Type 1 NPI

Lisa Maria Lewis

Mental Health Counselor · San Diego, CA

NPI number 1790030211 Active

Practice location

6160 Mission Gorge Rd
San Diego, CA 92120-3410

Mailing address

6160 Mission Gorge Road
San Diego, CA 92120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790030211

Lisa Maria Lewis's National Provider Identifier is 1790030211, issued on Jul 20, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jul 20, 2012.