Individual
MRS. CHARLENE TRAVIESO LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,CAP,CST
Contact information
Practice address
7344 SW 48TH ST, MIAMI, FL 33155-5546
(786) 290-0935
Mailing address
8440 SW 21ST ST, MIAMI, FL 33155-1029
(786) 290-0935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP-4255
FL
1041C0700X
Clinical Social Worker
SW9306
FL
Other
Enumeration date
07/06/2010
Last updated
06/05/2013
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