BRIAN ELLIS LEWIS

STOCKTON, CA
NPI1902948706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
-- BRIAN ELLIS LEWIS
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-465-1080
Mailing Address
-- BRIAN ELLIS LEWIS
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-465-1080