Individual provider · Type 1 NPI
Jacob Lewis, LADC-1
Addiction (Substance Use Disorder) Counselor · Stoneham, MA
NPI number
1629853940
Active
Practice location
26 Keene St
Stoneham, MA 02180-1173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 23155 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1629853940
Jacob Lewis, LADC-1's National Provider Identifier is 1629853940, issued on Aug 25, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stoneham, MA. The record was last updated on Aug 25, 2023.