person
Mr. Casey Scott Lake, LPCA
Mental Health Counselor in Myrtle Beach, South Carolina
NPI 1588424683

Casey Scott Lake is a Mental Health Counselor based in Myrtle Beach, SC and is specialized in Mental Health. Casey Scott Lake practices in Myrtle Beach, SC and has the professional credentials of LPCA. The NPI Number for Casey Scott Lake is 1588424683 and holds a License No. (South Carolina).

The current practice location address for Casey Scott Lake is [email protected], Myrtle Beach, SC and can be reached out via phone at 843-294-0646 and via fax at 843-294-0318.

Location: [email protected], Myrtle Beach, SC, 29588
person
Provider Profile Details
NPI Number
1588424683
Provider Name
Casey Scott Lake
Credential
LPCA
Provider Entity Type
Individual
Gender
Male
Address
[email protected], Myrtle Beach, SC, 29588
Phone Number
843-294-0646
Fax Number
843-294-0318
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
City
State
Zip
29588
Phone Number
843-294-0646
Fax Number
843-294-0318
person
Provider Business Mailing Address Details
Address
City
State
Zip
29588
Phone Number
843-294-0646
Fax Number
843-294-0318
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(South Carolina)
Definition
Definition to come...
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