Jacob Lewis, LADC-1
NPI #1629853940 in Stoneham, Massachusetts
Provider Information
- NPI Number
- 1629853940
- Entity Type
- Individual
- Name
- Jacob Lewis, LADC-1
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC-1
- Enumeration Date
- Aug 25, 2023
- Last Updated
- Aug 25, 2023
Practice Location
- Address
- 26 KEENE ST
- City
- Stoneham
- State
- Massachusetts
- ZIP Code
- 02180-1173
- Phone
- (781) 223-6896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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