LEWIS MICKLEY

AUSTIN, TX
NPI1295283026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  13567)
Enumeration Date2016-09-21
Last Update Date2016-09-21
Business Address
Mr. LEWIS MICKLEY
7517 CAMERON RD
AUSTIN, TX 78752-2057
Phone number: 844-206-9063
Mailing Address
Mr. LEWIS MICKLEY
7517 CAMERON RD
AUSTIN, TX 78752-2057
Phone number:
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