Individual provider · Type 1 NPI

Jennifer Lake

Mental Health Counselor · Kirkland, WA

NPI number 1164079968 Active

Practice location

11335 NE 122nd Way Ste 105
Kirkland, WA 98034-6933

Mailing address

1286 Cross Creek Blvd
Hernando, MS 38632

Other practice locations

  • 1286 Cross Creek Blvd, Hernando, MS 38632 · (662) 571-2025

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60971860 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1164079968

Jennifer Lake's National Provider Identifier is 1164079968, issued on Aug 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kirkland, WA. The record was last updated on Aug 26, 2019.