| Doctor Name: | MRS. JILL COLETTE LEWIS |
| NPI Number: | 1770701633 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. LAC, GUIDANCE |
| License Number: | 2331144 |
| Business Practice Address: | 8176 North Westover Joseph City, AZ - 86032 |
| Business Phone Number: | 9282883307 |
| Business Fax Number: | 9282883309 |
| Mailing Address: | P.o. Box 2500, SNOWFLAKE |
| State: | AZ |
| Postal Code: | 85937 |
| Phone Number: | 9282431441 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 11/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 2331144 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |