Individual provider · Type 1 NPI

Candace Renee Lake

Mental Health Counselor · Wellington, FL

NPI number 1245748763 Active

Practice location

11120 S Crown Way Ste 1
Wellington, FL 33414-8718

Call (561) 790-1191 Map

Mailing address

5347 Buckhead Cir
Boca Raton, FL 33486-1439

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X15452 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1245748763

Candace Renee Lake's National Provider Identifier is 1245748763, issued on Jan 18, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wellington, FL. The record was last updated on Jan 18, 2018.