Individual provider · Type 1 NPI

Christopher Todd Lake, MPH, CDP

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1114246535 Active

Practice location

7700 NE 26th Ave
Vancouver, WA 98665-0672

Fax (360) 397-8259

Mailing address

PO Box 2429
Longview, WA 98632-8486

Other practice locations

  • 6926 NE Fourth Plain Blvd, Vancouver, WA 98661-7369 · (360) 993-3000

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00004949 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114246535

Christopher Todd Lake, MPH, CDP's National Provider Identifier is 1114246535, issued on May 25, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Oct 13, 2017.