Jacob Michael Lewis
Jacob Michael Lewis is a Mental Health Counselor in Santa Rosa, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
634 Pressley StSanta Rosa, CA 95404-5526
Phone: (707) 573-6955
Fax: (707) 543-8176
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1306430566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2021 |
| Last updated in NPPES | February 26, 2021 |
| Certification date | February 26, 2021 |
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