| NPI | 1992205587 |
|---|---|
| Other Name | TOM LEWIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8280) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH8280) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH8280) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |