Individual
KRIS LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20205 SORRENTO ST, DETROIT, MI 48235-1191
(313) 585-8389
Mailing address
20205 SORRENTO ST, DETROIT, MI 48235-1191
(313) 585-8389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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