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Individual
SCOTT AVERY LEWIS
Active
Individual
SCOTT AVERY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MHT III, CHT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
HP60781328
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60917941
WA
101YM0800X
Mental Health Counselor
CG60525494
WA
106S00000X
Behavior Technician
Primary
CG60525494
WA
Other
Enumeration date
12/16/2018
Last updated
01/22/2021
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