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Individual
MR. GORDON DONALD LEWIS
Active
Individual
MR. GORDON DONALD LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
NULL
171M00000X
Case Manager/Care Coordinator
—
NULL
172V00000X
Community Health Worker
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
NULL
372600000X
Adult Companion
—
NULL
Other
Enumeration date
01/26/2009
Last updated
08/13/2025
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