Individual
ASHA TENIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
895 BLUE HILL AVE, DORCHESTER CENTER, MA 02124-2902
(617) 822-0829
Mailing address
62 STOCKTON ST APT 1, DORCHESTER CENTER, MA 02124-4426
(857) 222-0764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MA
101YM0800X
Mental Health Counselor
Primary
S12124698
MA
Other
Enumeration date
04/25/2007
Last updated
08/07/2009
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