Individual
MRS. REBECCA JO-RADEMACHER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC, SST
Contact information
Practice address
114 E ELM AVE, MONROE, MI 48162-2649
(734) 770-0845
(844) 272-7476
Mailing address
P.O. BOX 2147, MONROE, MI 48161
(734) 770-0845
(844) 272-7476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401010301
MI
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2604097
—
OH
Enumeration date
12/11/2007
Last updated
02/12/2023
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