Individual
BRENNAE K LEWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
1120 N WEST ST, SILVER CITY, NM 88061-4600
(575) 654-2919
Mailing address
1120 N WEST ST, SILVER CITY, NM 88061-4600
(575) 654-2919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0214251
NM
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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