person
Chanice Lake, MED,NCC
Mental Health Counselor in Palm City, Florida
NPI 1699245100

Chanice Lake is a Mental Health Counselor based in Port St Lucie, FL and is specialized in Mental Health. Chanice Lake practices in Palm City, FL and has the professional credentials of MED,NCC. The NPI Number for Chanice Lake is 1699245100 and holds a License No. IMH17666 (Florida).

The current practice location address for Chanice Lake is 3577 Sw Corporate Pkwy, Palm City, FL and can be reached out via phone at 772-220-3439.

Location: 3577 Sw Corporate Pkwy, Palm City, FL, 34952-1398
person
Provider Profile Details
NPI Number
1699245100
Provider Name
Chanice Lake
Credential
MED,NCC
Provider Entity Type
Individual
Gender
Female
Address
3577 Sw Corporate Pkwy, Palm City, FL, 34952-1398
Phone Number
772-220-3439
Fax Number
Provider Enumeration Date
11/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3577 Sw Corporate Pkwy
City
State
Zip
34990-8153
Phone Number
772-220-3439
Fax Number
person
Provider Business Mailing Address Details
Address
3577 Sw Corporate Pkwy
City
State
Zip
34990-8153
Phone Number
772-220-3439
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMH17666 (Florida)
Definition
Definition to come...
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