Individual
MR. GORDON DONALD LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 613-0330
Mailing address
4910 78TH ST, SACRAMENTO, CA 95820-6207
(916) 318-2840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/26/2009
Last updated
08/13/2025
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