Donald Lewis, | |
22659 Laguna Dr, Moreno Valley, CA 92553-7882 | |
(818) 480-8936 | |
Not Available |
Full Name | Donald Lewis |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 22659 Laguna Dr, Moreno Valley, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134506819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 80267 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 80267 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Donald Lewis, 102 W Main St, San Jacinto, CA 92583-4121 Ph: (951) 487-8883 | Donald Lewis, 22659 Laguna Dr, Moreno Valley, CA 92553-7882 Ph: (818) 480-8936 |
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