Individual provider · Type 1 NPI

Charolette Debra Lewis, PH.D. LMFT

Marriage & Family Therapist · Ontario, CA

NPI number 1912047580 Active

Practice location

1647 E Holt Blvd
Ontario, CA 91761-2107

Call (909) 458-9628 Map

Fax (909) 458-9750

Mailing address

PO Box 337
Loma Linda, CA 92354-0337

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC19574 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1912047580

Charolette Debra Lewis, PH.D. LMFT's National Provider Identifier is 1912047580, issued on Feb 6, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Ontario, CA. The record was last updated on Oct 22, 2012.