person
Terry Lake
Addiction (Substance Use Disorder) Counselor in Miami, Oklahoma
NPI 1760809180

Terry Lake is an Addiction (Substance Use Disorder) Counselor based in Miami, OK and is specialized in Addiction (Substance Use Disorder). Terry Lake practices in Miami, OK. The NPI Number for Terry Lake is 1760809180 and holds a License No. (Oklahoma).

The current practice location address for Terry Lake is 130 W Steve Owens Blvd, Miami, OK and can be reached out via phone at 918-542-2845. You can also correspond with Terry Lake through the mailing address at PO BOX 1271, MIAMI, OK - 74355-1271 (mailing address contact number: 918-675-4100).

Location: 130 W Steve Owens Blvd, Miami, OK, 74355-1271
person
Provider Profile Details
NPI Number
1760809180
Provider Name
Terry Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 W Steve Owens Blvd, Miami, OK, 74355-1271
Phone Number
918-542-2845
Fax Number
Provider Enumeration Date
03/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 W Steve Owens Blvd
City
State
Zip
74354-7629
Phone Number
918-542-2845
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 1271
City
State
Zip
74355-1271
Phone Number
918-675-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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