Individual
JEFFERY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII
Contact information
Practice address
33 JOHNSON ST, CHATSWORTH, GA 30705-7119
(706) 260-1046
Mailing address
33 JOHNSON ST, CHATSWORTH, GA 30705-7119
(706) 260-1046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1204
GA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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