person
Lisa Leetta Jewett, RADT
Addiction (Substance Use Disorder) Counselor in Galt, California
NPI 1144794991

Lisa Leetta Jewett is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Lisa Leetta Jewett practices in Galt, CA and has the professional credentials of RADT. The NPI Number for Lisa Leetta Jewett is 1144794991 and holds a License No. R1310170618 (California).

The current practice location address for Lisa Leetta Jewett is 750 Spaans Dr Ste Cd&F, Galt, CA and can be reached out via phone at 209-744-9909.

Location: 750 Spaans Dr Ste Cd&F, Galt, CA, 95206-6028
person
Provider Profile Details
NPI Number
1144794991
Provider Name
Lisa Leetta Jewett
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
750 Spaans Dr Ste Cd&F, Galt, CA, 95206-6028
Phone Number
209-744-9909
Fax Number
Provider Enumeration Date
01/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 Spaans Dr Ste Cd&F
City
State
Zip
95632-8609
Phone Number
209-744-9909
Fax Number
person
Provider Business Mailing Address Details
Address
750 Spaans Dr Ste Cd&F
City
State
Zip
95632-8609
Phone Number
209-744-9909
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1310170618 (California)
Definition
Definition to come...
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