person
Mr. James P Lake, MS,LCPC
Professional Counselor in Wauconda, Illinois
NPI 1518241330

James P Lake is a Professional Counselor based in Wauconda, IL and is specialized in Professional. James P Lake practices in Wauconda, IL and has the professional credentials of MS,LCPC. The NPI Number for James P Lake is 1518241330 and holds a License No. 180.007410 (Illinois).

The current practice location address for James P Lake is 440 N Main St Apt E304, Wauconda, IL and can be reached out via phone at 847-526-6425 and via fax at 847-526-6425.

Location: 440 N Main St Apt E304, Wauconda, IL, 60084-1759
person
Provider Profile Details
NPI Number
1518241330
Provider Name
James P Lake
Credential
MS,LCPC
Provider Entity Type
Individual
Gender
Male
Address
440 N Main St Apt E304, Wauconda, IL, 60084-1759
Phone Number
847-526-6425
Fax Number
847-526-6425
Provider Enumeration Date
09/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
440 N Main St Apt E304
City
State
Zip
60084-1759
Phone Number
847-526-6425
Fax Number
847-526-6425
person
Provider Business Mailing Address Details
Address
440 N Main St Apt E304
City
State
Zip
60084-1759
Phone Number
847-526-6425
Fax Number
847-526-6425
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.007410 (Illinois)
Definition
Definition to come...
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