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1407514938
JEFFREY ROBERT LEWIS
EUREKA, CA
NPI
1407514938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci30160720)
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
JEFFREY ROBERT LEWIS CDAC I SUD Counselor
2107 1ST ST
EUREKA, CA 95501-0840
Phone number: 707-476-4100
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Mailing Address
JEFFREY ROBERT LEWIS CDAC I SUD Counselor
2107 1ST ST
EUREKA, CA 95501-0840
Phone number: 707-273-6395
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