Individual
MR. BENJAMIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2363
(319) 390-4611
Mailing address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
06/26/2024
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