Individual
MS. BRENDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4577 VALLEY PKWY SE, APT P, SMYRNA, GA 30082-3008
(917) 251-6797
Mailing address
6500 MCDONOUGH DRIVE, STE, B2, NORCROSS, GA 30093
(770) 242-7865
(770) 242-7909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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