| Kellum Lewis, Marriage & Family Therapist, Inc. | |
|
95 N Marengo Ave Ste 205 Pasadena CA 91101-1755 | |
| (626) 765-1753 | |
| Not Available |
| Full Name | Kellum Lewis, Marriage & Family Therapist, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 95 N Marengo Ave Ste 205, Pasadena, California |
| Authorized Official Name and Position | John Kellum Lewis (PRESIDENT) |
| Authorized Official Contact | 6267651753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellum Lewis, Marriage & Family Therapist, Inc. 44 Eastern Ave Pasadena CA 91107-4339 Ph: (626) 765-1753 | Kellum Lewis, Marriage & Family Therapist, Inc. 95 N Marengo Ave Ste 205 Pasadena CA 91101-1755 Ph: (626) 765-1753 |
| NPI Number | 1275319311 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275319311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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