Individual
MS. CHARLEEN J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
WA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
CG61238184
WA
Other
Enumeration date
09/03/2021
Last updated
02/14/2025
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