person
Mr. Richard D Lake, MS,LMHC
Mental Health Counselor in Puyallup, Washington
NPI 1699829168

Richard D Lake is a Mental Health Counselor based in Puyallup, WA and is specialized in Mental Health. Richard D Lake practices in Puyallup, WA and has the professional credentials of MS,LMHC. The NPI Number for Richard D Lake is 1699829168 and holds a License No. LH00005258 (Washington).

The current practice location address for Richard D Lake is 10116 116Th St E, Puyallup, WA and can be reached out via phone at 253-904-8592 and via fax at 253-904-8592.

Location: 10116 116Th St E, Puyallup, WA, 98373-1165
person
Provider Profile Details
NPI Number
1699829168
Provider Name
Richard D Lake
Credential
MS,LMHC
Provider Entity Type
Individual
Gender
Male
Address
10116 116Th St E, Puyallup, WA, 98373-1165
Phone Number
253-904-8592
Fax Number
253-904-8592
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10116 116Th St E
City
State
Zip
98373-3543
Phone Number
253-904-8592
Fax Number
253-904-8592
person
Provider Business Mailing Address Details
Address
10116 116Th St E
City
State
Zip
98373-3543
Phone Number
253-904-8592
Fax Number
253-904-8592
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH00005258 (Washington)
Definition
Definition to come...
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