person
Timothy Nathan Lewis
Professional Counselor in Rockford, Illinois
NPI 1629673314

Timothy Nathan Lewis is a Professional Counselor based in Rockford, IL and is specialized in Professional. Timothy Nathan Lewis practices in Rockford, IL. The NPI Number for Timothy Nathan Lewis is 1629673314 and holds a License No. 178016413 (Illinois).

The current practice location address for Timothy Nathan Lewis is 695 N Perryville Rd Ste 4, Rockford, IL and can be reached out via phone at 779-368-0060 and via fax at 815-977-4892.

Location: 695 N Perryville Rd Ste 4, Rockford, IL, 61107-6225
person
Provider Profile Details
NPI Number
1629673314
Provider Name
Timothy Nathan Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
695 N Perryville Rd Ste 4, Rockford, IL, 61107-6225
Phone Number
779-368-0060
Fax Number
815-977-4892
Provider Enumeration Date
12/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
695 N Perryville Rd Ste 4
City
State
Zip
61107-6225
Phone Number
779-368-0060
Fax Number
815-977-4892
person
Provider Business Mailing Address Details
Address
695 N Perryville Rd Ste 4
City
State
Zip
61107-6225
Phone Number
779-368-0060
Fax Number
815-977-4892
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178016413 (Illinois)
Definition
Definition to come...
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