Individual provider · Type 1 NPI

Lewis Lee Tatum Jr.

Mental Health Counselor · Davis, CA

NPI number 1992907935 Active

Practice location

212 I St
Davis, CA 95616-4213

Fax (530) 758-1685

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992907935

Lewis Lee Tatum Jr.'s National Provider Identifier is 1992907935, issued on Jun 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davis, CA. The record was last updated on Jul 8, 2007.