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Individual

MR. JOHNNY LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDP

Contact information

Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0291
(253) 441-2710
Mailing address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0291
(253) 441-2710

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CPOOOO2988
WA

Other

Enumeration date
04/24/2008
Last updated
04/28/2008
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