NICOLE BASHAN LEWIS

CROWN POINT, IN
NPI1053847251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  88000389A)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: TX  93611)
Enumeration Date2017-05-08
Last Update Date2024-12-20
Business Address
NICOLE BASHAN LEWIS
1325 W 98TH AVE
CROWN POINT, IN 46307
Phone number: 219-789-9185
Mailing Address
NICOLE BASHAN LEWIS
1325 W 98TH AVE
CROWN POINT, IN 46307-2465
Phone number: 219-789-9185