Lewis, Charolette Debra
Lewis, Charolette Debra is an sole proprietor health care provider with primary practice located at 1647 E Holt Blvd , Ontario CA 91761-2107. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Lewis, Charolette Debra can be contacted via phone (909) 458-9628.Contact Information
Primary practice address
1647 E Holt Blvd
Ontario CA 91761-2107
Phone: (909) 458-9628
Fax: (909) 458-9750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC19574 | California |
Profile Details
NPI number | 1912047580 |
---|---|
LBN Legal business name | Lewis, Charolette Debra |
Credentials | PH.D. LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 6th, 2007 |
Last updated | Oct 22nd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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