Individual provider · Type 1 NPI
Krystal Meredith Lewis, SUPERVISED LADC
Addiction (Substance Use Disorder) Counselor · Lawton, OK
NPI number
1184950693
Active
Practice location
605 W Gore Blvd Ste 1
Lawton, OK 73501-3732
Mailing address
6 SW 69th St Apt D
Lawton, OK 73505-6724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1184950693
Krystal Meredith Lewis, SUPERVISED LADC's National Provider Identifier is 1184950693, issued on Oct 19, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lawton, OK. The record was last updated on Oct 19, 2009.