person
John M Lake, MSW,LISW
Mental Health Counselor in Colville, Washington
NPI 1861561367

John M Lake is a Mental Health Counselor based in Colville, WA and is specialized in Mental Health. John M Lake practices in Colville, WA and has the professional credentials of MSW,LISW. The NPI Number for John M Lake is 1861561367 and holds a License No. LH0005634 (Washington).

The current practice location address for John M Lake is 165 E Hawthorne Ave, Colville, WA and can be reached out via phone at 509-684-6172.

Location: 165 E Hawthorne Ave, Colville, WA, 99114-3148
person
Provider Profile Details
NPI Number
1861561367
Provider Name
John M Lake
Credential
MSW,LISW
Provider Entity Type
Individual
Gender
Male
Address
165 E Hawthorne Ave, Colville, WA, 99114-3148
Phone Number
509-684-6172
Fax Number
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
165 E Hawthorne Ave
City
State
Zip
99114-2629
Phone Number
509-684-6172
Fax Number
person
Provider Business Mailing Address Details
Address
165 E Hawthorne Ave
City
State
Zip
99114-2629
Phone Number
509-684-6172
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH0005634 (Washington)
Definition
Definition to come...
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