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1912366683
JERALD LEWIS
FULLERTON, CA
NPI
1912366683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-L1201051256)
Enumeration Date
2016-02-23
Last Update Date
2020-12-12
Business Address
Mr. JERALD LEWIS CADC II
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770
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Mailing Address
Mr. JERALD LEWIS CADC II
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770
Copy
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