Individual
NICOLE MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CADC
Contact information
Practice address
2 AMERICAN WAY, ELGIN, IL 60120-4341
(847) 742-3545
Mailing address
2 AMERICAN WAY, ELGIN, IL 60120-4341
(630) 740-0081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
02/22/2021
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