Individual
MRS. LAURA M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
12503 SE MILL PLAIN BLVD, 119A, VANCOUVER, WA 98684-4009
(360) 314-6507
(360) 852-8041
Mailing address
12503 SE MILL PLAIN BLVD STE 119A, VANCOUVER, WA 98684-4007
(360) 314-6507
(360) 852-8041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP0002893
WA
Other
Enumeration date
04/08/2008
Last updated
08/16/2016
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