Individual
FRANDEE JATAWAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CAC,ICCJAP,CCJAP,
Contact information
Practice address
1562 POLK ST, MOBILE, AL 36605-4905
(251) 379-4616
Mailing address
1562 POLK ST, MOBILE, AL 36605-4905
(251) 379-4616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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