Individual
TAMMY J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 CAMPUS DR, ANNVILLE, KY 40402-8271
(606) 824-4005
(859) 813-5394
Mailing address
PO BOX 214, ANNVILLE, KY 40402-0214
(606) 824-4005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
12/09/2024
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