person
Corey Lake, PRS-HS
Peer Specialist in Circleville, Ohio
NPI 1467220392

Corey Lake is a Peer Specialist based in Circleville, OH. Corey Lake practices in Circleville, OH and has the professional credentials of PRS-HS. The NPI Number for Corey Lake is 1467220392 and holds a License No. APS.004709 (Ohio).

The current practice location address for Corey Lake is 2065 Stoneridge Dr, Circleville, OH and can be reached out via phone at 740-500-1391.

Location: 2065 Stoneridge Dr, Circleville, OH, 43113-8956
person
Provider Profile Details
NPI Number
1467220392
Provider Name
Corey Lake
Credential
PRS-HS
Provider Entity Type
Individual
Gender
Male
Address
2065 Stoneridge Dr, Circleville, OH, 43113-8956
Phone Number
740-500-1391
Fax Number
Provider Enumeration Date
12/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2065 Stoneridge Dr
City
State
Zip
43113-8956
Phone Number
740-500-1391
Fax Number
person
Provider Business Mailing Address Details
Address
2065 Stoneridge Dr
City
State
Zip
43113-8956
Phone Number
740-500-1391
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
APS.004709 (Ohio)
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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