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Individual
REEVE LEWIS III
Active
Individual
REEVE LEWIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAC, PSS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1558
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558
REGISTERED ADDICTION COUNSELOR
LA
01
—
OBHPSS1048
LOUISIANA OFFICE OF BEHAVIORAL HEALTH - PEER SUPPORT SPECIALIST
LA
Enumeration date
11/02/2022
Last updated
08/19/2024
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