JERALD LEWIS

FULLERTON, CA
NPI1912366683
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RI-L1201051256)
Enumeration Date2016-02-23
Last Update Date2020-12-12
Business Address
Mr. JERALD LEWIS CADC II
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770
Mailing Address
Mr. JERALD LEWIS CADC II
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-992-4770