PHILLIP DERRELL LEWIS

OKLAHOMA CITY, OK
NPI1568712701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-09-14
Last Update Date2012-09-14
Business Address
Dr. PHILLIP DERRELL LEWIS Ph.D., CRC, LADC
1301 MARTIN LUTHER KING BLVD
OKLAHOMA CITY, OK 73117-4235
Phone number: 405-424-0007
Mailing Address
Dr. PHILLIP DERRELL LEWIS Ph.D., CRC, LADC
9244 FREEDOM RD UNIT 838
SAPULPA, OK 74066-2198
Phone number: 901-289-5006