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NPI Code Detail

MEDICARE: BRYAN CHRISTOPHER LEWIS RESIDENT IN COUN

MEDICARE:   BRYAN CHRISTOPHER LEWIS  RESIDENT IN COUN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0704017886VA

General Provider Information

NPI Number : 1306637889
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN CHRISTOPHER LEWIS RESIDENT IN COUN
Provider Business Mailing Address
First Line : 5254 MULBERRY RUN CT
Second Line :
City : STEPHENS CITY
State : VA
Zip : 22655-2650
Country : US
Telephone Number : 540-327-2895
Fax Number :
Provider Business Practice Location Address
First Line : 5254 MULBERRY RUN CT
Second Line :
City : STEPHENS CITY
State : VA
Zip : 22655-2650
Country : US
Telephone Number : 540-327-2895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2025
Last Update Date : 05/14/2025

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Directions to “ BRYAN CHRISTOPHER LEWIS RESIDENT IN COUN” Practice Location

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