Individual provider · Type 1 NPI
Johnny Lewis, CDP
Addiction (Substance Use Disorder) Counselor · Tacoma, WA
NPI number
1558536136
Active
Practice location
2209 E 32nd St
Tacoma, WA 98404-4922
Fax (253) 441-2710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CPOOOO2988 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1558536136
Johnny Lewis, CDP's National Provider Identifier is 1558536136, issued on Apr 24, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Apr 28, 2008.