Individual
CAROL A LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00354
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165435
OH
Other
Enumeration date
12/01/2017
Last updated
03/23/2018
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