Individual provider · Type 1 NPI

Jacqueline Lake

Professional Counselor · Plymouth, MA

NPI number 1124775598 Active

Practice location

900 Ship Pond Rd
Plymouth, MA 02360-1849

Call (508) 224-8041 Map

Mailing address

31 Copper Lantern Ln
Carver, MA 02330-1763

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1124775598

Jacqueline Lake's National Provider Identifier is 1124775598, issued on Mar 7, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Plymouth, MA. The record was last updated on Mar 7, 2022.