Doctor Name: | MR. VONNIE LEE LEWIS |
NPI Number: | 1174835029 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC MENTAL HEALTH |
License Number: | LPC C0069 |
Business Practice Address: | 111 N 20th St Philomath, OR - 973709535 |
Business Phone Number: | 5413684313 |
Business Fax Number: | 5419294967 |
Mailing Address: | Po Box 455, PHILOMATH |
State: | OR |
Postal Code: | 973700455 |
Phone Number: | 5413684313 |
Fax Number: | 5419294967 |
NPI Enumeration Date: | 07/08/2010 |
NPI Last Update Date: | 07/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC C0069 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |