| Doctor Name: | RONDA A. LEWIS |
| NPI Number: | 1073665576 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSC |
| License Number: | SC0634 |
| Business Practice Address: | 422 W Market Street Worcester County Health Department Market Square Snow Hill, MD - 21863 |
| Business Phone Number: | 4106324510 |
| Business Fax Number: | 4106324933 |
| Mailing Address: | 1404 Glen Ave, SALISBURY |
| State: | MD |
| Postal Code: | 218045218 |
| Phone Number: | 4105725529 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | SC0634 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |