Individual provider · Type 1 NPI

Jerald Lewis, CADC II

Addiction (Substance Use Disorder) Counselor · Fullerton, CA

NPI number 1912366683 Active

Practice location

218 E Commonwealth Ave
Fullerton, CA 92832-1911

Fax (714) 992-5475

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-L1201051256 (CA)

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

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About NPI 1912366683

Jerald Lewis, CADC II's National Provider Identifier is 1912366683, issued on Feb 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fullerton, CA. The record was last updated on Dec 12, 2020.