Individual
BRENDA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 ESPLANADE PL, GRETNA, LA 70056-2928
(504) 220-2456
Mailing address
2109 ESPLANADE PL, GRETNA, LA 70056-2928
(504) 220-2456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1192
LA
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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