Most Relevant Information
Provider Data
| NPI Number: | 1003335639 |
| Provider Name: | LISA LEWIS LICDC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | LICDC.161832 |
Most Important Dates
| Enumeration Date: | 09/14/2017 |
| Last Updated: | 12/01/2023 |
Provider Practice Location
3103 DIXIE HWY
HAMILTON
OH
450151653
Practice Location Phone/Fax
| Phone: | 5138924673 |
| Fax: | 5137371107 |
Provider Mailing Location
100 CROWNE POINT PL
CINCINNATI
OH
452415427
Provider Mailing Phone/Fax
| Phone: | 5137437628 |
| Fax: |