Individual
JAMES ALBERT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
4124 LINDEN AVE, DAYTON, OH 45432-3018
(937) 522-0961
Mailing address
4124 LINDEN AVE, DAYTON, OH 45432-3018
(937) 522-0961
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130163
OH
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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