person
Mr. Kelly A Lewis, PT
Mental Health Counselor in San Luis Obispo, California
NPI 1497006662

Kelly A Lewis is a Mental Health Counselor based in Los Osos, CA and is specialized in Mental Health. Kelly A Lewis practices in San Luis Obispo, CA and has the professional credentials of PT. The NPI Number for Kelly A Lewis is 1497006662 and holds a License No. PT 36628 (California).

The current practice location address for Kelly A Lewis is 2180 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-4394.

Location: 2180 Johnson Ave, San Luis Obispo, CA, 93402-4603
person
Provider Profile Details
NPI Number
1497006662
Provider Name
Kelly A Lewis
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
2180 Johnson Ave, San Luis Obispo, CA, 93402-4603
Phone Number
805-781-4394
Fax Number
Provider Enumeration Date
09/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2180 Johnson Ave
City
State
Zip
93401-4513
Phone Number
805-781-4394
Fax Number
person
Provider Business Mailing Address Details
Address
2180 Johnson Ave
City
State
Zip
93401-4513
Phone Number
805-781-4394
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PT 36628 (California)
Definition
Definition to come...
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