VICKIE LEWIS

PEKIN, IL
NPI1508209370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  CRADC)
Enumeration Date2013-04-11
Last Update Date2013-04-11
Business Address
-- VICKIE LEWIS CADC
3248 VANDEVER AVE
PEKIN, IL 61554-6257
Phone number: 309-347-5579
Mailing Address
-- VICKIE LEWIS CADC
3248 VANDEVER AVE
PEKIN, IL 61554-6257
Phone number: 309-347-5579