person
Ceyonna Cantrell Lewis, MA,LPC,RESIDENT
Professional Counselor in Fairfax, Virginia
NPI 1184295297

Ceyonna Cantrell Lewis is a Professional Counselor based in Irving, VA and is specialized in Professional. Ceyonna Cantrell Lewis practices in Fairfax, VA and has the professional credentials of MA,LPC,RESIDENT. The NPI Number for Ceyonna Cantrell Lewis is 1184295297 and holds a License No. LC13382 (Virginia).

The current practice location address for Ceyonna Cantrell Lewis is 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA and can be reached out via phone at 415-424-4266 and via fax at 415-520-6633.

Location: 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA, 75063-2233
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Provider Profile Details
NPI Number
1184295297
Provider Name
Ceyonna Cantrell Lewis
Credential
MA,LPC,RESIDENT
Provider Entity Type
Individual
Gender
Female
Address
8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA, 75063-2233
Phone Number
415-424-4266
Fax Number
415-520-6633
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30017533260001 05 VA
institution
Provider Business Practice Location Address Details
Address
8280 Willow Oaks Corporate Dr Ste 600
City
State
Zip
22031-4516
Phone Number
415-424-4266
Fax Number
415-520-6633
person
Provider Business Mailing Address Details
Address
8280 Willow Oaks Corporate Dr Ste 600
City
State
Zip
22031-4516
Phone Number
415-424-4266
Fax Number
415-520-6633
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC13382 (Maryland)
Definition
Definition to come...
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