Kimmy Jo Lake is an Addiction (Substance Use Disorder) Counselor based in Tacoma, WA and is specialized in Addiction (Substance Use Disorder). Kimmy Jo Lake practices in Tacoma, WA and has the professional credentials of CDP. The NPI Number for Kimmy Jo Lake is 1629414917 and holds a License No. CP60311481 (Washington).
The current practice location address for Kimmy Jo Lake is 758 St Helens Ave, Tacoma, WA and can be reached out via phone at 253-274-0484 and via fax at 253-274-1457.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003939034 | 05 | WA |
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