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  5. Ms. Michele Lewis M.ED LCADC-S, ICGC-I
Female

Ms. Michele Lewis M.ED LCADC-S, ICGC-I

Addiction (Substance Use Disorder) Counselor in Baltimore, MD(View on Map)

Full Name

Ms. Michele Lewis M.ED LCADC-S, ICGC-I

NPI Number

1417037334

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/16/2006

Specialties

(Taxonomies)

Name

Addiction (Substance Use Disorder) Counselor

Code

101YA0400X

Primary Taxonomy

Yes

Licenses

State

Maryland
North Carolina

License Number

LCA2207
1079

Contact
Information

Purpose

Mailing
Location

Address

640 BARTLETT AVENUE
640 BARTLETT AVENUE

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21218-5412
21218-5412

Country

US
US

Telephone Number

(443) 613-0506
(443) 613-0506

Identifiers

Identifier

LICENSE# 1079
LCA2207
6111892

Identifier State

NC
MD
NC

Identifier Issuer

CLINICAL ADDICTION SPEC.
LCADC
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/21/2019

Provider Address

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