IndividualActive
Andrew Lewis
NPI 1801485214 · Addiction (Substance Use Disorder) Counselor · Fairborn, OH
Provider details
- NPI number
- 1801485214
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- CDCA.173610 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
323 N Broad St
Fairborn, OH 45324-4934
Phone: (937) 318-8103
Approximate (ZIP-level) locationGet directions
Mailing address
323 N Broad St
Fairborn, OH 45324-4934
Registry dates
- Enumerated
- 2021-01-12
- Last updated
- 2021-01-12
- Certified
- 2021-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.