Individual
TISHANNA LEWISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 FORBES AVE SUITE 900, PITTSBURGH, PA 15213
(412) 256-5915
Mailing address
840 NORTH AVE, BRADDOCK, PA 15104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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