Individual
GABRIELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.172809
OH
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
09/23/2020
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