Individual
ANGEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 46TH ST STE J, INDIANAPOLIS, IN 46205-2373
(317) 475-9066
Mailing address
5723 CARROUSEL DR, INDIANAPOLIS, IN 46254-5172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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