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Individual

WILLIAM NATHAN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDP

Contact information

Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1500
(253) 649-1381
Mailing address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1500
(253) 649-1381

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
60765998
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60765998
WASHINGTON STATE DEPT. OF HEALTH
WA
Enumeration date
11/09/2018
Last updated
04/05/2023
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