Lewis, Jacquelyne

Lewis, Jacquelyne is an individual health care provider with primary practice located at 2751 E Jefferson Ave , Detroit MI 48207-4180. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Lewis, Jacquelyne can be contacted via phone (313) 993-3434.

Contact Information

Primary practice address
2751 E Jefferson Ave Detroit MI 48207-4180
Phone: (313) 993-3434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401006679 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6802080467 Michigan

Profile Details

NPI number 1023222320
LBN Legal business name Lewis, Jacquelyne
Credentials LBSW, LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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