Most Relevant Information
Provider Data
| NPI Number: | 1003359134 |
| Provider Name: | SHANISE LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/21/2016 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
PO BOX 11098
FRESNO
CA
937711098
Practice Location Phone/Fax
| Phone: | 5595770297 |
| Fax: |
Provider Mailing Location
PO BOX 11098
FRESNO
CA
937711098
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |