Individual
MR. MARCUS JERMAIN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
714 WILKINS ST, SMITHFIELD, NC 27577-4648
(919) 938-9502
Mailing address
500 HICKORY RD, GOLDSBORO, NC 27534-4424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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