Individual
CARLA ANN LEWANDOWSKI-SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUD REGISTERED
Contact information
Practice address
620 N AURORA ST STE 1, STOCKTON, CA 95202-2276
(209) 468-3720
Mailing address
620 N AURORA ST STE 1, STOCKTON, CA 95202-2276
(209) 468-3720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C3879465
—
CA
Enumeration date
02/14/2023
Last updated
02/14/2023
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