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Mr. Larry Wayne Lewis, LPC
Mental Health Counselor in Centerville, Utah
NPI 1942365663

Larry Wayne Lewis is a Mental Health Counselor based in Layton, UT and is specialized in Mental Health. Larry Wayne Lewis practices in Centerville, UT and has the professional credentials of LPC. The NPI Number for Larry Wayne Lewis is 1942365663 and holds a License No. 5595450-6004 (Utah).

The current practice location address for Larry Wayne Lewis is 94 E Pages Ln # A, Centerville, UT and can be reached out via phone at 801-294-0578.

Location: 94 E Pages Ln # A, Centerville, UT, 84041-3843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942365663
Provider Name
Larry Wayne Lewis
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
94 E Pages Ln # A, Centerville, UT, 84041-3843
Phone Number
801-294-0578
Fax Number
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
94 E Pages Ln # A
City
Centerville
State
Utah
Zip
84014-2216
Phone Number
801-294-0578
Fax Number
person
Provider Business Mailing Address Details
Address
94 E Pages Ln # A
City
Centerville
State
Utah
Zip
84014-2216
Phone Number
801-294-0578
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
5595450-6004 (Utah)
Definition
Definition to come...
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