person
Ricky B Lake JR., LPC
Professional Counselor in Indiana, Pennsylvania
NPI 1891893699

Ricky B Lake JR. is a Professional Counselor based in Butler, PA and is specialized in Professional. Ricky B Lake JR. practices in Indiana, PA and has the professional credentials of LPC. The NPI Number for Ricky B Lake JR. is 1891893699 and holds a License No. PC004272 (Pennsylvania).

The current practice location address for Ricky B Lake JR. is 793 Old Route 119 Hwy N, Indiana, PA and can be reached out via phone at 724-465-5576 and via fax at 724-465-5532.

Location: 793 Old Route 119 Hwy N, Indiana, PA, 16002-3809
person
Provider Profile Details
NPI Number
1891893699
Provider Name
Ricky B Lake JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
793 Old Route 119 Hwy N, Indiana, PA, 16002-3809
Phone Number
724-465-5576
Fax Number
724-465-5532
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
793 Old Route 119 Hwy N
City
State
Zip
15701-1372
Phone Number
724-465-5576
Fax Number
724-465-5532
person
Provider Business Mailing Address Details
Address
793 Old Route 119 Hwy N
City
State
Zip
15701-1372
Phone Number
724-465-5576
Fax Number
724-465-5532
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC004272 (Pennsylvania)
Definition
Definition to come...
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