Individual
ANGIE D. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1560 BOYSON RD STE B, HIAWATHA, IA 52233-2385
(319) 929-5668
Mailing address
4090 W VALLEY DR, CEDAR RAPIDS, IA 52411-7845
(319) 929-5668
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
040075
IA
101YM0800X
Mental Health Counselor
Primary
00853
IA
Other
Enumeration date
01/19/2006
Last updated
09/11/2023
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