Individual
CHASE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1724 S 3RD ST, IRONTON, OH 45638-2269
(740) 442-7143
Mailing address
1724 S 3RD ST, IRONTON, OH 45638-2269
(740) 442-7143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187309
OH
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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