Most Relevant Information
Provider Data
| NPI Number: | 1003670696 |
| Provider Name: | CHASE LEWIS CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CDCA.187309 |
Most Important Dates
| Enumeration Date: | 02/13/2024 |
| Last Updated: | 02/13/2024 |
Provider Practice Location
1724 S 3RD ST
IRONTON
OH
456382269
Practice Location Phone/Fax
| Phone: | 7404427143 |
| Fax: |
Provider Mailing Location
1724 S 3RD ST
IRONTON
OH
456382269
Provider Mailing Phone/Fax
| Phone: | 7404427143 |
| Fax: |