Individual
KELLY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 OCEAN AVE, RAYMOND, WA 98577-3016
(360) 942-2303
(360) 942-5312
Mailing address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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