JASON LEWIS

TACOMA, WA
NPI1316305972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00006201)
Enumeration Date2016-02-10
Last Update Date2016-02-10
Business Address
Mr. JASON LEWIS CDP
1016 SO 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-593-2844
Mailing Address
Mr. JASON LEWIS CDP
1016 SO 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-593-2844
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