Individual
ANNETTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 102342
Contact information
Practice address
186 BROADWAY, RICHMOND, CA 94804-1949
(510) 367-6350
Mailing address
84 BROADWAY, RICHMOND, CA 94804-1910
(510) 231-7812
(510) 231-7810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
102342
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2007
Last updated
07/29/2021
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