Individual
LEWIS J COUSART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 INTERURBAN AVE, CHARLOTTE, NC 28208-1824
(704) 560-7060
Mailing address
1021 INTERURBAN AVE, CHARLOTTE, NC 28208-1824
(704) 560-7060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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