Individual provider · Type 1 NPI
Larry Wayne Lewis, LPC
Mental Health Counselor · Centerville, UT
NPI number
1942365663
Active
Practice location
94 E Pages Ln # A
Centerville, UT 84014-2216
Mailing address
155 N Fort Ln Apt D
Layton, UT 84041-3843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 5595450-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1942365663
Larry Wayne Lewis, LPC's National Provider Identifier is 1942365663, issued on Dec 22, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centerville, UT. The record was last updated on Jul 8, 2007.