John Kellum Lewis in Pasadena - Marriage & Family Therapist
John Kellum Lewis - NPI 1932304276
John Kellum Lewis is a Marriage & Family Therapist in Pasadena, California. John Kellum Lewis practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for John Kellum Lewis is 1932304276. The last update date is 2016-06-02.
John Kellum Lewis's current location address is 95 N Marengo Ave, Pasadena, California. You can contact this provider via phone number 3238608782. The mailing address for John Kellum Lewis is 95 N Marengo Ave, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Kellum Lewis |
|---|---|
| Address | 95 N Marengo Ave, Pasadena, California |
| Phone Number | 3238608782 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1932304276 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2016-06-02 |
Provider Mailing Address Detail
| Address | 95 N Marengo Ave |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911011764 |
| Phone Number | 3238608782 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC42989 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the John Kellum Lewis's unique identification number?
The John Kellum Lewis has been assigned the NPI (National Provider Identifier) Number 1932304276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the John Kellum Lewis located?
The John Kellum Lewis is located at 95 N Marengo Ave, Pasadena, CA 911011764.
What is John Kellum Lewis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Kellum Lewis is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date was the 1932304276 assigned to John Kellum Lewis?
The John Kellum Lewis was issued its 1932304276 on 2007-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to John Kellum Lewis most recently updated or revised?
The information pertaining to John Kellum Lewis, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-02.
NPI Number: 1144225426
Address: 380 E Paseo El Mirador, Palm Springs, CA