Most Relevant Information
Provider Data
| NPI Number: | 1003834417 |
| Provider Name: | MARY LOUISE LEWIS MA, LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 831 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3200 CONCORDIA AVE
MONROE
LA
712015113
Practice Location Phone/Fax
| Phone: | 3183625188 |
| Fax: |
Provider Mailing Location
122 MOHAWK CIR
WEST MONROE
LA
712918142
Provider Mailing Phone/Fax
| Phone: | 3183968112 |
| Fax: |