Individual
MR. JONATHAN JAMES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
691 E EMPIRE ST, CORTEZ, CO 81321-2802
(970) 565-7946
Mailing address
150 MERCURY VILLAGE DR, DURANGO, CO 81301-8955
(979) 355-2422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801082270
MI
1041C0700X
Clinical Social Worker
Primary
CSW.09924587
CO
Other
Enumeration date
04/14/2008
Last updated
01/13/2025
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