Individual provider · Type 1 NPI

Elliot Jxavier Lewis, RAC

Addiction (Substance Use Disorder) Counselor · Shreveport, LA

NPI number 1316458748 Active

Practice location

2000 Fairfield Ave
Shreveport, LA 71104-2002

Mailing address

525 Crockett St
Shreveport, LA 71101-3601

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1438 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1316458748

Elliot Jxavier Lewis, RAC's National Provider Identifier is 1316458748, issued on Oct 12, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shreveport, LA. The record was last updated on Oct 12, 2017.