person
Jacqueline Lake
Professional Counselor in Plymouth, Massachusetts
NPI 1124775598

Jacqueline Lake is a Professional Counselor based in Carver, MA and is specialized in Professional. Jacqueline Lake practices in Plymouth, MA. The NPI Number for Jacqueline Lake is 1124775598 and holds a License No. (Massachusetts).

The current practice location address for Jacqueline Lake is 900 Ship Pond Rd, Plymouth, MA and can be reached out via phone at 508-224-8041. You can also correspond with Jacqueline Lake through the mailing address at 31 COPPER LANTERN LN, CARVER, MA - 02330-1763 (mailing address contact number: 781-760-3730).

Location: 900 Ship Pond Rd, Plymouth, MA, 02330-1763
person
Provider Profile Details
NPI Number
1124775598
Provider Name
Jacqueline Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
900 Ship Pond Rd, Plymouth, MA, 02330-1763
Phone Number
508-224-8041
Fax Number
Provider Enumeration Date
03/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Ship Pond Rd
City
State
Zip
02360-1849
Phone Number
508-224-8041
Fax Number
person
Provider Business Mailing Address Details
Address
31 Copper Lantern Ln
City
State
Zip
02330-1763
Phone Number
781-760-3730
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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