Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Robert Lewis, CDACISUDCOUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407514938

Jeffrey Robert Lewis, CDACISUDCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in Eureka, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

2107 1st St
Eureka, CA 95501-0840
Phone: (707) 476-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CI30160720 (CA)

Record details

NPI number1407514938
Entity typeIndividual (Type 1)
GenderMale
Credentials CDACISUDCOUNSELOR
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

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