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Traci Renee Lewis
Peer Specialist in Lompoc, California
NPI 1730887175

Traci Renee Lewis is a Peer Specialist based in Santa Barbara, CA. Traci Renee Lewis practices in Lompoc, CA. The NPI Number for Traci Renee Lewis is 1730887175 and holds a License No. MPSS-ZWGKDL (California).

The current practice location address for Traci Renee Lewis is 401 E Ocean Ave, Lompoc, CA and can be reached out via phone at 805-737-7727.

Location: 401 E Ocean Ave, Lompoc, CA, 93111-1457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730887175
Provider Name
Traci Renee Lewis
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 E Ocean Ave, Lompoc, CA, 93111-1457
Phone Number
805-737-7727
Fax Number
Provider Enumeration Date
02/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 E Ocean Ave
City
Lompoc
State
California
Zip
93436-6828
Phone Number
805-737-7727
Fax Number
person
Provider Business Mailing Address Details
Address
401 E Ocean Ave
City
Lompoc
State
California
Zip
93436-6828
Phone Number
805-737-7727
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-ZWGKDL (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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