Individual
NANCY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 N 5TH ST, KANSAS CITY, KS 66101-2305
(913) 342-0888
Mailing address
1125 N 5TH ST, KANSAS CITY, KS 66101-2305
(913) 342-0888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1512
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
5624
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QR0405X
—
MO
05
—
261QR045X
—
KS
Enumeration date
03/31/2017
Last updated
03/31/2017
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