Individual
LAURA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDC III
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9607932
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9607932
CERTIFIED CHEMICAL DEPENDENCY COUNSELOR III
SD
Enumeration date
07/16/2013
Last updated
07/16/2013
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