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Jennifer Lake, MED,LGPC,ADT
Mental Health Counselor in Hyattsville, Maryland
NPI 1992395073

Jennifer Lake is a Mental Health Counselor based in Hyattsville, MD and is specialized in Mental Health. Jennifer Lake practices in Hyattsville, MD and has the professional credentials of MED,LGPC,ADT. The NPI Number for Jennifer Lake is 1992395073 and holds a License No. (Maryland).

The current practice location address for Jennifer Lake is 5557 Baltimore Ave Ste 500-1552, Hyattsville, MD and can be reached out via phone at 443-201-1911.

Location: 5557 Baltimore Ave Ste 500-1552, Hyattsville, MD, 20781-1922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992395073
Provider Name
Jennifer Lake
Credential
MED,LGPC,ADT
Provider Entity Type
Individual
Gender
Female
Address
5557 Baltimore Ave Ste 500-1552, Hyattsville, MD, 20781-1922
Phone Number
443-201-1911
Fax Number
Provider Enumeration Date
01/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5557 Baltimore Ave Ste 500-1552
City
Hyattsville
State
Maryland
Zip
20781-1922
Phone Number
443-201-1911
Fax Number
person
Provider Business Mailing Address Details
Address
5557 Baltimore Ave Ste 500-1552
City
Hyattsville
State
Maryland
Zip
20781-1922
Phone Number
443-201-1911
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LGP10409 (Maryland)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
()
Definition
Definition to come...
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