Provider Demographics
NPI:1346475688
Name:LEWIS, ADRIAN (CONSELOR)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:LEWIS
Suffix:
Gender:M
Credentials:CONSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 GREENHAVEN DR STE 202
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-5640
Mailing Address - Country:US
Mailing Address - Phone:916-665-1804
Mailing Address - Fax:916-665-1807
Practice Address - Street 1:7600 GREENHAVEN DR STE 202
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-5640
Practice Address - Country:US
Practice Address - Phone:916-665-1804
Practice Address - Fax:916-665-1807
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)