Individual provider · Type 1 NPI

Gary Lewis

Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK

NPI number 1356769780 Active

Practice location

3621 N Kelley Ave, Ste 100
Oklahoma City, OK 73111-4520

Fax (405) 524-5528

Mailing address

12700 NE 37th St
Spencer, OK 73084-9162

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1356769780

Gary Lewis's National Provider Identifier is 1356769780, issued on Apr 2, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 2, 2014.