person
Christopher Todd Lake, MPH,CDP
Addiction (Substance Use Disorder) Counselor in Vancouver, Washington
NPI 1114246535

Christopher Todd Lake is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Christopher Todd Lake practices in Vancouver, WA and has the professional credentials of MPH,CDP. The NPI Number for Christopher Todd Lake is 1114246535 and holds a License No. CP00004949 (Washington).

The current practice location address for Christopher Todd Lake is 7700 Ne 26Th Ave, Vancouver, WA and can be reached out via phone at 360-397-8228 and via fax at 360-397-8259.

Location: 7700 Ne 26Th Ave, Vancouver, WA, 98632-8486
person
Provider Profile Details
NPI Number
1114246535
Provider Name
Christopher Todd Lake
Credential
MPH,CDP
Provider Entity Type
Individual
Gender
Male
Address
7700 Ne 26Th Ave, Vancouver, WA, 98632-8486
Phone Number
360-397-8228
Fax Number
360-397-8259
Provider Enumeration Date
05/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7700 Ne 26Th Ave
City
State
Zip
98665-0672
Phone Number
360-397-8228
Fax Number
360-397-8259
person
Provider Business Mailing Address Details
Address
7700 Ne 26Th Ave
City
State
Zip
98665-0672
Phone Number
360-397-8228
Fax Number
360-397-8259
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00004949 (Washington)
Definition
Definition to come...
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