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Amanda Kay Lake
Marriage & Family Therapist in Janesville, Wisconsin
NPI 1992998900

Amanda Kay Lake is a Marriage & Family Therapist based in Janesville, WI. Amanda Kay Lake practices in Janesville, WI. The NPI Number for Amanda Kay Lake is 1992998900 and holds a License No. 10097 (Wisconsin).

The current practice location address for Amanda Kay Lake is 113 S Franklin St, Janesville, WI and can be reached out via phone at 608-743-2417 and via fax at 608-743-2406.

Location: 113 S Franklin St, Janesville, WI, 53548-3812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992998900
Provider Name
Amanda Kay Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
113 S Franklin St, Janesville, WI, 53548-3812
Phone Number
608-743-2417
Fax Number
608-743-2406
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 S Franklin St
City
Janesville
State
Wisconsin
Zip
53548-3812
Phone Number
608-743-2417
Fax Number
608-743-2406
person
Provider Business Mailing Address Details
Address
113 S Franklin St
City
Janesville
State
Wisconsin
Zip
53548-3812
Phone Number
608-743-2417
Fax Number
608-743-2406
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15750 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
10097 (Iowa)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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