KELLY A LEWIS

SAN LUIS OBISPO, CA
NPI1497006662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  PT 36628)
Enumeration Date2012-09-27
Last Update Date2012-09-27
Business Address
Mr. KELLY A LEWIS PT
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4394
Mailing Address
Mr. KELLY A LEWIS PT
2345 CIMARRON WAY
LOS OSOS, CA 93402-4603
Phone number:
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