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Mrs. Judy Diane Lewis, MFT
Mental Health Counselor in Lodi, California
NPI 1114943859

Judy Diane Lewis is a Mental Health Counselor based in Lodi, CA and is specialized in Mental Health. Judy Diane Lewis practices in Lodi, CA and has the professional credentials of MFT. The NPI Number for Judy Diane Lewis is 1114943859 and holds a License No. 35589 (California).

The current practice location address for Judy Diane Lewis is 1806 W Kettleman Ln Ste D1, Lodi, CA and can be reached out via phone at 209-607-7895 and via fax at 209-333-2620.

Location: 1806 W Kettleman Ln Ste D1, Lodi, CA, 95242-4316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114943859
Provider Name
Judy Diane Lewis
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
1806 W Kettleman Ln Ste D1, Lodi, CA, 95242-4316
Phone Number
209-607-7895
Fax Number
209-333-2620
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35589 01 CA MFT
institution
Provider Business Practice Location Address Details
Address
1806 W Kettleman Ln Ste D1
City
Lodi
State
California
Zip
95242-4316
Phone Number
209-607-7895
Fax Number
209-333-2620
person
Provider Business Mailing Address Details
Address
1806 W Kettleman Ln Ste D1
City
Lodi
State
California
Zip
95242-4316
Phone Number
209-607-7895
Fax Number
209-333-2620
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
35589 (California)
Definition
Definition to come...
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