Terricka Renee Lewis M.A. LLPC

NPI 1083965107 - Counselor - 101YP2500X

NPI Details
NPI 1083965107
Gender Female
Enumeration Date 09/28/2012
Last Updated 09/28/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
21751 ECORSE RD
TAYLOR MI, 48180-1846, US
Phone (313) 406-4493
Fax
Business Location
5333 CHRYSLER DR
DETROIT MI, 48202-4135, US
Phone (313) 384-4929
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Michigan
License Number 6401012926
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According to our database, Ms. Terricka Renee Lewis M.A. LLPC NPI is 1083965107, taxonomy code is 101YP2500X and license number is 6401012926, license state is located at Michigan. Terricka Renee Lewis M.A. LLPC physically located at 21751 Ecorse Rd, Taylor MI, 48180-1846. NPI Number Terricka Renee Lewis M.A. LLPC has the Individual type.

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1083965107 NPI number is provided on an as is basis without warranty of any kind. 1083965107 is maintained by the National Plan & Provider Enumeration System. The contents of Terricka Renee Lewis M.A. LLPC are for informational purposes only.