Individual provider · Type 1 NPI

Sharla D. Lake, BS

Mental Health Counselor · Stanford, KY

NPI number 1104966894 Active

Practice location

322 Frontier Blvd
Stanford, KY 40484-7730

Fax (859) 254-2743

Mailing address

1351 Newtown Pike
Lexington, KY 40511-1217

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104966894

Sharla D. Lake, BS's National Provider Identifier is 1104966894, issued on Feb 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stanford, KY. The record was last updated on Jul 9, 2007.